Individual
JASON KYLER BECKSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14301 FNB PKWY, OMAHA, NE 68154-7200
(402) 807-7447
Mailing address
312 FITCH ST, HERMAN, NE 68029-5200
(385) 219-9492
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-232752
TX
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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