# FLY WHEEL CENTER NE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154129468
- **Authorized official:** SHRAGA F WAXMAN (CEO)
- **Authorized official phone:** (347) 661-6533

## Contact information

- **Practice address:** 4471 41ST AVE, \#1013, COLUMBUS, NE 68601
- **Practice address phone:** (347) 661-6533
- **Mailing address:** 174 WHITE ST, LAKEWOOD, NJ 08701-4054
- **Mailing address phone:** (347) 524-8681

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |

## Other

- **Enumeration date:** 03/04/2025
- **Last updated:** 03/04/2025