Individual
TY BRYCE WEBBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 N ST STE A, GERING, NE 69341-3335
(872) 444-4488
Mailing address
900 N ST STE A, GERING, NE 69341-3335
(872) 444-4488
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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