Individual
KATIE WARDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
6424 S 150TH ST, OMAHA, NE 68137-3916
(402) 812-5975
(402) 891-8860
Mailing address
6424 S 150TH ST, OMAHA, NE 68137-3916
(402) 812-5975
(402) 891-8860
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB541003
NE
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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