Individual
LOGAN NIEDZIELSKI
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
1299 FARNAM ST STE 300, OMAHA, NE 68102-1857
(402) 969-6633
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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