Individual
MISTY WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 N ST STE A, GERING, NE 69341
(308) 672-0101
Mailing address
900 N ST, GERING, NE 69341-3335
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NE
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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