Individual
MS. MELISSA ANN NISSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
13322 I ST, OMAHA, NE 68137-1111
(402) 230-5861
Mailing address
13322 I ST, OMAHA, NE 68137-1111
(402) 230-5861
(531) 200-5808
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-9616
TX
Other
Enumeration date
10/03/2014
Last updated
04/13/2018
About Stedi
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