Individual
VICTORIA WAGEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1299 FARNAM ST STE 300, OMAHA, NE 68102-1857
(402) 214-3157
Mailing address
16092 REDMAN AVE, OMAHA, NE 68116-3248
(402) 214-3157
(531) 200-5808
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-50730
NE
106E00000X
Assistant Behavior Analyst
0-18-9233
NE
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/20/2017
Last updated
12/03/2021
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