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9802 Nicholas St Ste 395 Omaha NE 68114-2168 | |
| (732) 806-0091 | |
| (732) 813-8001 |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9802 Nicholas St Ste 395, Omaha, Nebraska |
| Authorized Official Name and Position | Matt Rokowsky (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7328060091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
185 Route 70 Ste 302 Toms River NJ 08755-0936 Ph: (732) 806-0091 | 9802 Nicholas St Ste 395 Omaha NE 68114-2168 Ph: (732) 806-0091 |
| NPI Number | 1215569553 |
|---|---|
| Provider Enumeration Date | 02/05/2020 |
| Last Update Date | 09/09/2024 |
| Certification Date | 09/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215569553 | NPI | - | NPPES |
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