Individual
SHAWN BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4433 S 70TH ST STE 200, LINCOLN, NE 68516-4275
(402) 590-2660
Mailing address
4433 S 70TH ST STE 200, LINCOLN, NE 68516-4275
(402) 590-2660
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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