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WOLF BEHAVIORAL CONSULTING

Behavioral Analyst

Omaha, Nebraska

Provider NPI: 1285886101

Organization Information:
Organization Name:  WOLF BEHAVIORAL CONSULTING
Organization is not Subpart
Authorized Official:  KEERY L. WOLF  OWNER  402-3062333

Practice Location:
12930 IZARD ST  OMAHA, NE 68154 US
Tel: 402-306-2333  Fax: 610-300-2333

Business Mailing Address:
12930 IZARD ST  OMAHA, NE 68154 US
Tel: 402-306-2333  Fax: 610-300-2333

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103K00000X

NE1052476

Other Provider Identifiers:

IssuerNumberStateType
BEHAVIOR ANALYSIS CERTIFICATION BOARD1052476NE01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







BEHAVIORAL ANALYST JOBS NE - Page 1



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