Individual
TINA M BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1299 FARNAM ST STE 300, OMAHA, NE 68102-1857
(402) 969-6633
(855) 915-1521
Mailing address
8922 CUMING ST, OMAHA, NE 68114-2732
(402) 926-4373
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-391048
NE
Other
Enumeration date
11/18/2024
Last updated
02/10/2025
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