Individual
KEITH WESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8922 CUMING ST, OMAHA, NE 68114-2732
(402) 926-4373
Mailing address
8922 CUMING ST, OMAHA, NE 68114-2732
(402) 926-4373
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-96396
NE
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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