Individual
BRENTON TIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9802 NICHOLAS ST STE 395, OMAHA, NE 68114-2168
(402) 252-1363
Mailing address
185 ROUTE 70 STE 302, TOMS RIVER, NJ 08755-0911
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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