Individual
MRS. JODIE LEE TAGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3534 S 108TH ST, OMAHA, NE 68144-4910
(402) 281-4028
Mailing address
13605 S 131ST ST, SPRINGFIELD, NE 68059-3200
(402) 672-9269
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-31602
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-18-31602
BEHAVIOR ANALYST CERTIFICATION BOARD
—
Enumeration date
03/05/2019
Last updated
03/05/2019
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