Individual
BANESA JOAQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2325 S 14TH ST APT 2, OMAHA, NE 68108-1085
(712) 635-7900
Mailing address
2325 S 14TH ST APT 2, OMAHA, NE 68108-1085
(712) 635-7900
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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