Individual
VANESSA CANCINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1299 FARNAM ST STE 300, OMAHA, NE 68102-1857
(402) 252-8181
Mailing address
3907 LAKE PARK, SOUTH SIOUX CITY, NE 68776-3848
(712) 569-8077
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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