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Individual

MISS KYLA JEWEL PRICE-WALLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
5321 S 138TH ST, OMAHA, NE 68137-2913
(402) 895-4000
Mailing address
5321 S 138TH ST, OMAHA, NE 68137-2913
(402) 895-4000

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-199873

Other

Enumeration date
05/17/2022
Last updated
05/17/2022
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