Organization
BEHAVIORAL PEDIATRIC & FAMILY THERAPY PROGRAM, LLC
Active
Other names
BEHAVIORAL PEDIATRIC & FAMILY THERAPY PROGRAM
Organization subpart
No
Provider details
NPI number
Authorized official
JAMI GIVENS PH.D. (MEMBER)
(402) 483-1936
Entity
Organization
Contact information
Practice address
1520 SOUTH 70TH STREET, SUITE 200, LINCOLN, NE 68506-1566
(402) 483-1936
(402) 483-7314
Mailing address
1520 SOUTH 70TH STREET, SUITE 200, LINCOLN, NE 68506-1566
(402) 483-1936
(402) 483-7314
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2497
NE
101YP2500X
Professional Counselor
552
NE
103G00000X
Clinical Neuropsychologist
461
NE
103T00000X
Psychologist
Primary
263
NE
103T00000X
Psychologist
469
NE
103T00000X
Psychologist
477
NE
103T00000X
Psychologist
527
NE
103T00000X
Psychologist
636
NE
103TC2200X
Clinical Child & Adolescent Psychologist
2811
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47080115226
—
NE
Enumeration date
10/25/2006
Last updated
09/08/2023
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