Individual
KELLY C MOSEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
600 N 93RD ST, OMAHA, NE 68114-2697
(402) 230-5861
Mailing address
3010 N 187TH CT, ELKHORN, NE 68022-3247
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-48102
NE
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
08/29/2017
Last updated
01/10/2023
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