Individual
KARISSA WIEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 UNION DR STE 206, LINCOLN, NE 68516-6652
(509) 494-9191
Mailing address
3801 UNION DR STE 206, LINCOLN, NE 68516-6652
(509) 494-9191
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-227650
NE
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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