Individual
BREEANNA RUTH BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 COLLEGE PARK CIR APT 16, LINCOLN, NE 68505-3191
(402) 803-0736
Mailing address
3801 UNION DR STE 206, LINCOLN, NE 68516-6652
(402) 432-4372
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB830362
NE
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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