Individual
RILEY DEAN
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
(646) 859-4440
Mailing address
3924 N 138TH ST, OMAHA, NE 68164-5009
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-301965
NE
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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