NPI 1205281672 · live from the CMS NPI Registry
Jessica Garcia Lara
Behavior Analyst in Omaha, NE. National Provider Identifier 1205281672, active.
NPI record
| NPI | 1205281672 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 444 S. 44th St., Omaha, NE 68131 |
| Practice phone | 402-559-3563 |
| Mailing address | 985450 Nebraska Medical Ctr, Omaha, NE 68198 |
| Enumerated | May 4, 2016 |
| Last updated | May 4, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.