Individual
NICOLE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
233 S 13TH ST STE 1100, LINCOLN, NE 68508-2003
(402) 326-3339
(531) 500-0576
Mailing address
7030 EAGLE RIDGE CIR, LINCOLN, NE 68516-3042
(402) 613-8016
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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