Individual
KYLIE KOSMACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
909 S 76TH ST, OMAHA, NE 68114-4519
(402) 390-2100
Mailing address
522 S 130TH ST, OMAHA, NE 68154-2908
(402) 320-6650
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-16557
NE
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
About Stedi
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