Individual
CODY HAVERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1299 FARNAM ST STE 300, OMAHA, NE 68102-1857
(402) 969-6633
Mailing address
508 JAMES PL, YANKTON, SD 57078-1830
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-20-132455
SD
Other
Enumeration date
10/23/2020
Last updated
08/24/2022
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