Individual
LORI A NICKELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBA, BCBA, MBA
Contact information
Practice address
1310 N 13TH ST, BEATRICE, NE 68310-2111
(402) 239-9504
Mailing address
1310 N 13TH ST, BEATRICE, NE 68310-2111
(402) 239-9504
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0006
NE
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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