Individual
TARA L KUCERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4261 INDIANGRASS RD, GRAND ISLAND, NE 68803-3000
(402) 871-9441
Mailing address
4261 INDIANGRASS RD, GRAND ISLAND, NE 68803-3000
(402) 871-9441
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-228444
NE
Other
Enumeration date
08/06/2022
Last updated
08/06/2022
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