Individual
JACKLINE WANJIRU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1919 S 39TH ST, OMAHA, NE 68105-3047
(402) 599-9720
Mailing address
1718 S 51ST ST, OMAHA, NE 68106-2493
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
21187875
NE
106S00000X
Behavior Technician
Primary
21-187875
NE
Other
Enumeration date
10/06/2021
Last updated
01/27/2022
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