Individual
MASSAN YAYRA TCHAKLIDJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9012 Q ST, OMAHA, NE 68127-3549
(402) 315-1000
Mailing address
9012 Q ST, OMAHA, NE 68127-3549
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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