Individual
MARIA WADDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11112 JOHN GALT BLVD STE 100, OMAHA, NE 68137-9838
(402) 347-4191
Mailing address
11112 JOHN GALT BLVD STE 100, OMAHA, NE 68137-9838
(402) 347-4191
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-408574
NE
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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