Marvin Clarke

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1405345045 Issued in NV

Practice address

1931 Stella Lake St
Las Vegas, NV 89106-2142

Phone

(702) 981-1153

Fax

(702) 974-4555

NPI assigned

Mar 16, 2017

Last updated

Mar 16, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1912448457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9303 GILCREASE AVE",
            "address_2": "UNIT 1085",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891490199",
            "telephone_number": "402-931-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 STELLA LAKE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062142",
            "telephone_number": "702-981-1153",
            "fax_number": "702-974-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "MARVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "1405345045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Clarke-Sotomayor
• Cecelia Clarke, NP-C, MD
• Deneane Marie Clarke
• Julene Clarke
• Larry Isaiah Clarke, QMHA
• Tatiana Clarke, M.S., CCC-SLP
• Taylor Briana Clarke
• Torisha Clarke, BS COMMUNICATION
• Wenping Wu Clarke
• Ravada Delores Clarkson

• Behavior Analyst in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.