Individual
LUKE M NISSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5334 S 136TH ST, OMAHA, NE 68137-3001
(402) 759-9665
Mailing address
6311 AMES AVE # 1195, OMAHA, NE 68104-2027
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
11/06/2025
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