Individual
KATHLEEN BARGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
105 POPLAR ST, GERING, NE 69341-4052
(800) 781-5536
Mailing address
1705 12TH ST, GERING, NE 69341-4105
(308) 631-3589
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-93770
NE
Other
Enumeration date
07/27/2019
Last updated
07/27/2019
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