Individual
GILDAS AGBASSOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 GOLDEN GATE DR, PAPILLION, NE 68046-2837
(531) 600-3934
Mailing address
1201 GOLDEN GATE DR, PAPILLION, NE 68046-2837
(531) 600-3934
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
372500000X
Chore Provider
—
—
Other
Enumeration date
02/24/2023
Last updated
03/26/2025
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