Individual
GAGE SHRIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 E MILITARY AVE STE 220, FREMONT, NE 68025-5433
(531) 666-0250
Mailing address
1900 E MILITARY AVE STE 220, FREMONT, NE 68025-5433
(531) 666-0250
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/23/2023
Last updated
12/16/2025
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