Individual
KAITLYN MARIE PEVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1560 S 70TH ST, LINCOLN, NE 68506-1577
(402) 318-3105
(402) 318-3677
Mailing address
1560 S 70TH ST, LINCOLN, NE 68506-1577
(402) 318-3105
(402) 318-3677
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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