Organization
ENCORE PEDIATRICS OF NEBRASKA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN COTCHER (EVP OF PEDIATRICS)
(248) 672-2593
Entity
Organization
Contact information
Practice address
200 S 21ST ST STE 400A, LINCOLN, NE 68510-1044
(866) 925-8505
Mailing address
33533 W 12 MILE RD STE 290, FARMINGTON HILLS, MI 48331-5635
(866) 925-8505
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/01/2022
Last updated
08/21/2024
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