Individual
MISCHA MARTIN VASGIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2320 S 48TH ST, LINCOLN, NE 68506-5515
(402) 218-4667
Mailing address
6112 S 87TH ST, LINCOLN, NE 68526-9359
(707) 775-9728
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-357598
NE
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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