Individual
MISS JADA LYNNE WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14301 FNB PKWY STE 100, OMAHA, NE 68154-7200
(402) 807-7447
Mailing address
1021 MARY BETH CIR, BLAIR, NE 68008-2716
(402) 237-7102
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
H14008762
NE
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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