Individual
ALEXIS CHRISTINE SHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1299 FARNAM ST STE 300, OMAHA, NE 68102-1857
(402) 252-8181
Mailing address
1509 TORREYS DR, LINCOLN, NE 68521-4558
(402) 440-4596
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB827323
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111914808
—
NE
Enumeration date
11/28/2022
Last updated
08/20/2024
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