Individual
MIA ROSE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14301 FNB PKWY, STE 100, OMAHA, NE 68154-7200
(402) 807-7447
Mailing address
8119 PARK VIEW BLVD, LA VISTA, NE 68128-2131
(402) 881-1767
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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