Individual
TARA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 N ST, GERING, NE 69341-3335
(308) 641-1276
Mailing address
900 N ST, GERING, NE 69341-3335
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1088122
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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