Individual
CARLY RENKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
7305 S 196TH CIR, GRETNA, NE 68028-3512
(402) 677-7537
Mailing address
7305 S 196TH CIR, GRETNA, NE 68028-3512
(402) 677-7537
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-24-327623
SD
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
01/29/2025
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