Individual
KENDALL AVERY MILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7061 S 61ST ST, LINCOLN, NE 68516-5518
(402) 217-2858
Mailing address
1544 S 20TH ST, APT 2, LINCOLN, NE 68502
(531) 333-9621
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
NE
Other
Enumeration date
02/15/2025
Last updated
02/15/2025
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