Individual
MADDILYN BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10717 VIRGINIA PLZ STE 113, LA VISTA, NE 68128-3255
(402) 926-4373
Mailing address
2490 N 150TH ST, OMAHA, NE 68116-5102
(531) 262-7335
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-350789
NE
Other
Enumeration date
06/28/2021
Last updated
08/26/2024
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