Individual
MS. SARA YASMINE WAYCHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
512 W F ST, OGALLALA, NE 69153-2039
(720) 683-1628
Mailing address
512 W F ST, OGALLALA, NE 69153-2039
(720) 683-1628
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-57681
NE
Other
Enumeration date
01/29/2021
Last updated
12/11/2023
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