Individual
LYNAE WHITNEY FOCKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8506 KING ST, OMAHA, NE 68122-1284
(402) 658-2020
Mailing address
8506 KING ST, OMAHA, NE 68122-1284
(402) 658-2020
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117AM5605
DRIVERS LICENSE
IA
Enumeration date
02/14/2023
Last updated
07/28/2025
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