NPI 1790384345 · live from the CMS NPI Registry
Cody Havermann
Behavior Analyst in Omaha, NE. National Provider Identifier 1790384345, active.
NPI record
| NPI | 1790384345 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1299 Farnam St Ste 300, Omaha, NE 68102 |
| Practice phone | 402-969-6633 |
| Mailing address | 508 James Pl, Yankton, SD 57078 |
| Enumerated | October 23, 2020 |
| Last updated | August 24, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-132455 (SD) |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.