Individual
SARA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5334 S 136TH ST, OMAHA, NE 68137-3001
(402) 259-6948
Mailing address
6311 AMES AVE # 1195, OMAHA, NE 68104-2027
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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