Individual
JOCELYN ROSE AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
819 TARA PLZ, PAPILLION, NE 68046-2043
(402) 512-4296
Mailing address
819 TARA PLZ, PAPILLION, NE 68046-2043
(402) 512-4296
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-132152
NE
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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