Individual
SMAY TOMAS CRESPO RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14301 FNB PKWY STE 100, OMAHA, NE 68154-7200
(402) 807-7447
Mailing address
2683 E 5TH AVE APT 117, COLUMBUS, NE 68601-7240
(580) 341-1008
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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