Individual
ISI MENDIETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7120 S 29TH ST, LINCOLN, NE 68516-5802
(402) 759-9665
(855) 915-0244
Mailing address
6311 AMES AVE # 1195, OMAHA, NE 68104-2027
(402) 259-6948
(855) 915-0244
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NE
Other
Enumeration date
09/11/2025
Last updated
11/06/2025
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