Individual
AVERY GRUDZINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 REGENCY PKWY STE 115, OMAHA, NE 68114-3702
(515) 207-5251
Mailing address
310 REGENCY PKWY STE 115, OMAHA, NE 68114-3702
(515) 207-5251
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NE
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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