NPI 1972072171 · live from the CMS NPI Registry
Ellie Eastlund
Behavior Analyst in Omaha, NE. National Provider Identifier 1972072171, active.
NPI record
| NPI | 1972072171 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 6902 Pine St, Omaha, NE 68106 |
| Practice phone | 402-559-2568 |
| Mailing address | 985450 Nebraska Medical Ctr, Omaha, NE 68198 |
| Enumerated | November 16, 2018 |
| Last updated | July 17, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-21-54172 (MN) |
| Technician, Other | 247200000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.