Individual
CARISSA LYNN OVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3924 N 138TH ST, OMAHA, NE 68164-5009
(402) 347-4191
Mailing address
3519 N 53RD ST, OMAHA, NE 68104-3511
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-235871
NE
Other
Enumeration date
07/18/2023
Last updated
12/02/2025
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