NPI 1134745789 · live from the CMS NPI Registry
Samantha J Bryan
Behavior Analyst in Omaha, NE. National Provider Identifier 1134745789, active.
NPI record
| NPI | 1134745789 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 6902 Pine St, Omaha, NE 68106 |
| Practice phone | 402-559-8863 |
| Mailing address | 985450 Nebraska Medical Ctr, Omaha, NE 68198 |
| Enumerated | June 19, 2020 |
| Last updated | April 19, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.