Individual
MADELINE PUSHPA RIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5115 F ST, OMAHA, NE 68117-2807
(402) 397-9866
(402) 397-1404
Mailing address
5115 F ST, OMAHA, NE 68117-2807
(402) 397-9866
(402) 397-1404
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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