Individual
GISELLE CENTENO-ROSALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13322 I ST, OMAHA, NE 68137-1111
(402) 230-5861
(531) 200-5808
Mailing address
13322 I ST, OMAHA, NE 68137-1111
(402) 230-5861
(531) 200-5808
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-292022
NE
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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