Individual
NATHANIEL SCOTT SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4205 S 96TH ST, OMAHA, NE 68127-1221
(402) 720-8404
Mailing address
1702 FRANKLIN ST, BELLEVUE, NE 68005-3454
(402) 720-8404
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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