Individual
KYLE WADE DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
6902 PINE ST, OMAHA, NE 68106-2855
(402) 559-6341
Mailing address
3616 W BRITTANY CT, MEQUON, WI 53092-5210
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/10/2015
Last updated
04/08/2021
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