IndividualActive
Larry Henderson
NPI 1710399084 · Early Intervention Provider Agency · Las Vegas, NV
Provider details
- NPI number
- 1710399084
- Entity type
- Individual
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
5100 Obannon Dr Apt 78
Las Vegas, NV 89146
Phone: (702) 272-3858
Approximate (ZIP-level) locationGet directions
Mailing address
5100 Obannon Dr Apt 78
Las Vegas, NV 89146-3426
Registry dates
- Enumerated
- 2014-05-21
- Last updated
- 2014-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.