Individual
HEATHER BRODERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16925 PARKER PLZ, OMAHA, NE 68118-6013
(402) 230-5861
(531) 200-5808
Mailing address
16925 PARKER PLZ, OMAHA, NE 68118-6013
(402) 230-5861
(531) 200-5808
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-24-15491
NE
106S00000X
Behavior Technician
19-99142
NE
Other
Enumeration date
08/29/2019
Last updated
04/29/2026
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