Individual
TRESSA LYNN PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.ED., BCBA
Contact information
Practice address
13808 W MAPLE RD STE 124, OMAHA, NE 68164-6231
(402) 277-9541
Mailing address
13808 W MAPLE RD STE 124, OMAHA, NE 68164-6231
(531) 200-5808
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-39502
NE
106S00000X
Behavior Technician
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
07/20/2010
Last updated
04/24/2024
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