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NPI Code Detail

MEDICARE: MS. ANNEMARIE LOUISE LAFFERTY CECP

MEDICARE:  MS. ANNEMARIE LOUISE LAFFERTY  CECP
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
1106S00000XBehavior TechnicianCA

General Provider Information

NPI Number : 1497292627
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANNEMARIE LOUISE LAFFERTY CECP
Provider Business Mailing Address
First Line : 3753 HOWARD HUGHES PKWY STE 227
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-0938
Country : US
Telephone Number : 707-364-9019
Fax Number :
Provider Business Practice Location Address
First Line : 3753 HOWARD HUGHES PKWY STE 227
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-0938
Country : US
Telephone Number : 707-364-9019
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2017
Last Update Date : 04/17/2025

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Directions to “ MS. ANNEMARIE LOUISE LAFFERTY CECP” Practice Location

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