Individual
JACQUE LEE PRAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2320 S 48TH ST, LINCOLN, NE 68506-5515
(402) 218-4667
Mailing address
6221 S 28TH ST, LINCOLN, NE 68516-4609
(402) 440-6020
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NE
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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