NPI 1255734661 · live from the CMS NPI Registry
Phil Crary
Behavior Analyst in Omaha, NE. National Provider Identifier 1255734661, active.
NPI record
| NPI | 1255734661 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 6424 S 150th St, Omaha, NE 68137 |
| Practice phone | 402-812-5939 |
| Enumerated | September 29, 2014 |
| Last updated | September 29, 2014 |
| Sole proprietor | Yes |
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.