NPI 1336758002 · live from the CMS NPI Registry
Bethany Collaso
Behavior Analyst in Omaha, NE. National Provider Identifier 1336758002, active.
NPI record
| NPI | 1336758002 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 9802 Nicholas St Ste 395, Omaha, NE 68114 |
| Practice phone | 732-806-0091 |
| Enumerated | July 28, 2020 |
| Last updated | June 13, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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.