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Individual

KORTLYN TAWNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, BCBA

Contact information

Practice address
1235 S 75TH ST, OMAHA, NE 68124-1609
(402) 799-1472
Mailing address
1235 S 75TH ST, OMAHA, NE 68124-1609

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB629669
NE
106S00000X
Behavior Technician

Other

Enumeration date
09/21/2020
Last updated
06/05/2025
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