Individual
NYKIJA YANYC BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 FLORENCE BLVD, OMAHA, NE 68110-4406
(402) 706-7372
Mailing address
1801 FLORENCE BLVD, OMAHA, NE 68110-4406
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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