Individual
SYDNEY BRIANNA MATHENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14301 FNB PKWY STE 100, OMAHA, NE 68154-7200
(402) 807-7447
Mailing address
2065 NASH BLVD APT GG6, COUNCIL BLUFFS, IA 51501-0994
(712) 890-9039
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
156F00000X
Technician/Technologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25353631G
—
IA
Enumeration date
11/01/2022
Last updated
11/28/2022
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