MEDICARE: CAANEN CLEGG

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1225706633
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAANEN CLEGG

Provider Business Mailing Address
First Line	:	1205 PONCE DE LEON AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-1460
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1205 PONCE DE LEON AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-1460
Country	:	US
Telephone Number	:	725-218-9736
Fax Number	:

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

Provider Enumeration Date	:	08/31/2021
Last Update Date	:	08/31/2021

Similar Medicare Providers

1174059802 — RICKY ATKINSON
Practice Location Address:

1401 N MICHAEL WAY APT 148
LAS VEGAS, NV
89108-1460

Practice Phone: 702-875-2968
Practice Fax:

1124659651 — TAMI L FORWARD
Practice Location Address:

1460 LAWMAN CT
LAS VEGAS, NV
89119-4501

Practice Phone: 818-606-1992
Practice Fax:

1063091312 — JOSE A GONZALEZ DIAZ
Practice Location Address:

812 SAYLOR WAY
LAS VEGAS, NV
89107-1460

Practice Phone: 702-406-9040
Practice Fax:

1568035277 — ARRIONNA SIMPSON
Practice Location Address:

1309 N 22ND ST APT 4
LAS VEGAS, NV
89101-1460

Practice Phone: 318-900-4590
Practice Fax:

1003704867 — VEIN & VASCULAR LLC
Practice Location Address:

700 S TELSHOR BLVD STE 1460
LAS CRUCES, NM
88011-8607

Practice Phone: 505-363-3377
Practice Fax: 575-205-0306

1366373938 — IBRAHIM ZAKI ALSMADI
Practice Location Address:

7358 EMERALD GLOW ST
LAS VEGAS, NV
89123-1303

Practice Phone: 702-353-1143
Practice Fax: 702-444-4877

Directions to “ CAANEN CLEGG ” 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.