Individual
AZIZ DIMITRI YERBANGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19026 N ST, OMAHA, NE 68135-3562
(646) 228-1558
Mailing address
19026 N ST, OMAHA, NE 68135-3562
(646) 228-1558
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
07/22/2026
Last updated
07/22/2026
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