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Larry Croom Jr.

Behavior Technician in Las Vegas, NV. Individual provider (NPI-1).

NPI number1669918561
StatusActive
Last updated in NPPESJan 16, 2017

Details

NPI
1669918561
Entity type
Individual (NPI-1)
Name
Larry Croom Jr.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 16, 2017
Last updated
Jan 16, 2017

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician814779557NVYes

Practice location

5836 S Pecos Rd
Las Vegas, NV 89120-3418

Phone 800-829-4933

Mailing address

5836 S Pecos Rd
Las Vegas, NV 89120-3418

Phone 800-829-4933

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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