Individual
LISA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ABA
Contact information
Practice address
1055 N 115TH ST STE 202, OMAHA, NE 68154-4419
(402) 881-5606
Mailing address
1055 N 115TH ST STE 202, OMAHA, NE 68154-4419
(402) 881-5606
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306497490
—
NE
05
—
89044200
—
NE
Enumeration date
01/29/2025
Last updated
08/27/2025
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