| Silver Swing Aba Ne Llc | |
|
14301 Fnb Pkwy Ste 100 Omaha NE 68154-7200 | |
| (917) 864-2523 | |
| Not Available |
| Full Name | Silver Swing Aba Ne Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 14301 Fnb Pkwy Ste 100, Omaha, Nebraska |
| Authorized Official Name and Position | Jay Lax (DIRECTOR) |
| Authorized Official Contact | 9178642523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Silver Swing Aba Ne Llc 1359 E 14th St Apt 2 Brooklyn NY 11230-5973 Ph: () - | Silver Swing Aba Ne Llc 14301 Fnb Pkwy Ste 100 Omaha NE 68154-7200 Ph: (917) 864-2523 |
| NPI Number | 1285475467 |
|---|---|
| Provider Enumeration Date | 06/03/2024 |
| Last Update Date | 08/22/2024 |
| Certification Date | 08/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285475467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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