Individual
ABREE A TAILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, PLMHP
Contact information
Practice address
1708 E 46TH STREET PL, KEARNEY, NE 68847-2696
(308) 455-9411
Mailing address
PO BOX 492, KEARNEY, NE 68848-0492
(308) 224-7652
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10530
NE
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-15-18579
BEHAVIOR ANALYST CERTIFICATION BOARD
—
Enumeration date
04/01/2015
Last updated
09/12/2015
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