Individual
SARAH KETCHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5539 S 27TH ST STE 101, LINCOLN, NE 68512-1600
(402) 328-0283
Mailing address
5539 S 27TH ST STE 101, LINCOLN, NE 68512-1600
(402) 817-8943
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106S00000X
BEHAVIOR THERAPIST
NE
Enumeration date
06/08/2018
Last updated
01/30/2023
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