Provider Demographics
NPI:1790679371
Name:GALLOWAY, NAOMI NYCHELLE-DENISE
Entity type:Individual
Prefix:MRS
First Name:NAOMI
Middle Name:NYCHELLE-DENISE
Last Name:GALLOWAY
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:NAOMI
Other - Middle Name:NYCHELLE-DENISE
Other - Last Name:FARLOUGH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7160 RAFAEL RIVERA WAY STE 110
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-5394
Mailing Address - Country:US
Mailing Address - Phone:702-850-2691
Mailing Address - Fax:
Practice Address - Street 1:7160 RAFAEL RIVERA WAY STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-5394
Practice Address - Country:US
Practice Address - Phone:702-850-2691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician