Individual
SHANE MICHAEL SEDLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1299 FARNAM ST STE 300, OMAHA, NE 68102-1857
(402) 969-6633
(855) 892-0299
Mailing address
1299 FARNAM ST STE 300, OMAHA, NE 68102-1857
(402) 969-6633
(855) 892-0299
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-345833
NE
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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