Individual
EILEEN WILDERMUTH BOIKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8922 CUMING ST, OMAHA, NE 68114-2732
(402) 926-4373
Mailing address
6309 RUGGLES ST, OMAHA, NE 68104-2652
(503) 317-9970
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-372051
NE
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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