Wellformed AI

NPI 1982249983 · live from the CMS NPI Registry

Nicole Demchuk

Behavior Analyst in Omaha, NE. National Provider Identifier 1982249983, active.

NPI record

NPI1982249983 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location6902 Pine St, Omaha, NE 68106
Practice phone402-559-7363
Mailing address985450 Nebraska Medical Ctr, Omaha, NE 68198
EnumeratedNovember 13, 2019
Last updatedSeptember 15, 2021
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X1-19-38066 (CA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.