Individual ProviderPatrick Clark IiBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address8920 Ochoa St, Las Vegas, NV 89143-5450(702) 480-3754PECOS EnrollmentBased on the most recent information from CMS, provider Patrick Clark Ii does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1285041491Provider TypeIndividualFull NameClark Ii, PatrickGenderMaleSole ProprietorYesEnumeration Date7/20/2014Last Updated7/20/2014Contact InformationPractice LocationPractice Address8920 Ochoa St, Las Vegas, NV 89143-5450Phone(702) 480-3754FaxUnlisted FaxMailing LocationMailing Address8920 Ochoa St, Las Vegas, NV 89143-5450Phone(702) 480-3754FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer