Individual
REBECCA MOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1299 FARNAM ST STE 300, OMAHA, NE 68102-1857
(678) 894-1116
Mailing address
5418 S 28TH AVE, OMAHA, NE 68107-3405
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-229205
NE
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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