Individual
KAYLEE ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
233 S 13TH ST STE 1100, LINCOLN, NE 68508-2003
(818) 345-2345
Mailing address
1210 BENTON ST, LINCOLN, NE 68521-1627
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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