Individual
CLYDE H FARROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
912 CLAYSTONE RIDGE AVE, NORTH LAS VEGAS, NV 89084-2552
(915) 867-1563
Mailing address
912 CLAYSTONE RIDGE AVE, NORTH LAS VEGAS, NV 89084-2552
(915) 867-1563
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1405852726
—
NV
Enumeration date
01/26/2023
Last updated
01/26/2023
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