Individual
MS. MAYA LEE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10406 FORT PLZ APT 9, OMAHA, NE 68134-1225
(531) 721-5724
Mailing address
10406 FORT PLZ APT 9, OMAHA, NE 68134-1225
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NE
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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