Individual
KELSEY SMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8922 CUMING ST, OMAHA, NE 68114-2732
(402) 926-4373
Mailing address
7822 S 97TH CIR, LA VISTA, NE 68128-7075
(402) 415-1315
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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