Individual
JACLYN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11819 MIRACLE HILLS DR, OMAHA, NE 68154-5308
(402) 414-4131
Mailing address
13322 I ST, OMAHA, NE 68137-1111
(402) 230-5861
(531) 200-5808
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
14596
NE
106E00000X
Assistant Behavior Analyst
Primary
0-19-9659
NE
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/20/2017
Last updated
08/27/2025
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