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Individual

LAINEY MARILYN DIERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BEHAVIOR TECHNICIAN

Contact information

Practice address
7905 L ST STE 230, OMAHA, NE 68127-1732
(402) 512-4296
Mailing address
7905 L ST STE 230, OMAHA, NE 68127-1732
(402) 512-4296

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-55879
NE

Other

Enumeration date
05/18/2018
Last updated
05/18/2018
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