MEDICARE: CORNELIA FARR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	2266-C	NV
2	1041C0700X	Clinical Social Worker	2266-C	NV

General Provider Information

NPI Number	:	1215208558
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CORNELIA FARR

Provider Business Mailing Address
First Line	:	5130 VINCITOR ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-3223
Country	:	US
Telephone Number	:	702-255-2916
Fax Number	:	702-255-2916

Provider Business Practice Location Address
First Line	:	5130 VINCITOR ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-3223
Country	:	US
Telephone Number	:	702-255-2916
Fax Number	:	702-255-2916

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2012
Last Update Date	:	01/18/2012

Similar Medicare Providers

1962268565 — NEXT STEP UP CORP
Practice Location Address:

6543 LAS VEGAS BLVD S
LAS VEGAS, NV
89119-3223

Practice Phone: 719-517-6905
Practice Fax: 585-502-1157

1780449462 — NEXT STEP UP CORP
Practice Location Address:

6543 LAS VEGAS BLVD S
LAS VEGAS, NV
89119-3223

Practice Phone: 719-517-6905
Practice Fax: 585-502-1157

1578391819 — NEXT STEP UP CORP
Practice Location Address:

6543 LAS VEGAS BLVD S
LAS VEGAS, NV
89119-3223

Practice Phone: 866-926-0035
Practice Fax: 585-502-1157

1932416492 — NEUROTRACK
Practice Location Address:

7264 LARIX RD
LAS VEGAS, NV
89113-3223

Practice Phone: 702-979-1894
Practice Fax:

1073991642 — MOOREHOUSE B&C SERVICES
Practice Location Address:

7340 ELDERLY AVE
LAS VEGAS, NV
89131-3223

Practice Phone: 702-647-4700
Practice Fax:

1710468913 — MS. MAEGAN KAYLA WONG
Practice Location Address:

3223 E FLAMINGO RD APT 207
LAS VEGAS, NV
89121-4332

Practice Phone: 808-346-3893
Practice Fax:

Directions to “ CORNELIA FARR ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.