Individual
SARA THOMSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
6424 S 150TH ST, OMAHA, NE 68137-3916
(402) 812-5939
(402) 891-8860
Mailing address
5906 S 169TH ST, OMAHA, NE 68135-2813
(402) 812-5939
(402) 891-8860
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-21-12890
—
106S00000X
Behavior Technician
17-38581
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-21-12890
BACB
—
Enumeration date
12/18/2017
Last updated
04/01/2022
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