Individual
ELLIE EASTLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6902 PINE ST, OMAHA, NE 68106-2855
(402) 559-2568
(402) 559-5737
Mailing address
985450 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-5450
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-54172
MN
247200000X
Other Technician
—
—
Other
Enumeration date
11/16/2018
Last updated
07/17/2025
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