Individual
BRENDAN WILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14412 CEDAR CIR, OMAHA, NE 68144-2122
(402) 250-2741
Mailing address
14412 CEDAR CIR, OMAHA, NE 68144-2122
(402) 250-2741
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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