Individual
REBECCA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 MANOR RD, SIDNEY, NE 69162-1142
(970) 520-7291
Mailing address
116 MANOR RD, SIDNEY, NE 69162-1142
(970) 520-7291
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-249962
NE
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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