| Wolf Behavioral Consulting | |
|
12930 Izard St Omaha NE 68154-1248 | |
| (402) 306-2333 | |
| (610) 300-2333 |
| Full Name | Wolf Behavioral Consulting |
|---|---|
| Speciality | Behavior Analyst |
| Location | 12930 Izard St, Omaha, Nebraska |
| Authorized Official Name and Position | Keery L. Wolf (OWNER) |
| Authorized Official Contact | 4023062333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wolf Behavioral Consulting 12930 Izard St Omaha NE 68154-1248 Ph: (402) 306-2333 | Wolf Behavioral Consulting 12930 Izard St Omaha NE 68154-1248 Ph: (402) 306-2333 |
| NPI Number | 1285886101 |
|---|---|
| Provider Enumeration Date | 10/22/2008 |
| Last Update Date | 10/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285886101 | NPI | - | NPPES |
| 1052476 | Other | NE | BEHAVIOR ANALYSIS CERTIFICATION BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1052476 (Nebraska) | Primary |
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