Individual
SHANNON SUE RIECKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10710 S 176TH ST, OMAHA, NE 68136-1908
(402) 677-6690
Mailing address
10710 S 176TH ST, OMAHA, NE 68136-1908
(402) 677-6690
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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