Individual
MEGAN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2528 S 130TH AVE, OMAHA, NE 68144-2596
(402) 915-1454
Mailing address
2528 S 130TH AVE, OMAHA, NE 68144-2596
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NE
Other
Enumeration date
09/14/2023
Last updated
11/07/2025
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