Individual
MARVIN CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1931 STELLA LAKE ST, LAS VEGAS, NV 89106-2142
(702) 981-1153
(702) 974-4555
Mailing address
9303 GILCREASE AVE, UNIT 1085, LAS VEGAS, NV 89149-0199
(402) 931-1515
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1405345045
NV
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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