Individual
ALLYSA KIMPSON
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
6616 S 171ST CIR, OMAHA, NE 68135-3211
(402) 953-7851
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-278392
NE
Other
Enumeration date
06/14/2023
Last updated
06/23/2023
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