Behavioral Pediatric & Family Therapy Program, LLC
Psychologist in Lincoln, NE. Organization (NPI-2).
NPI number1336224971
StatusActive
Last updated in NPPESSep 8, 2023
Details
- NPI
- 1336224971
- Entity type
- Organization (NPI-2)
- Legal business name
- Behavioral Pediatric & Family Therapy Program, LLC
- Organization subpart
- No
- Enumeration date
- Oct 25, 2006
- Certification date
- Dec 15, 2022
- Last updated
- Sep 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 263 | NE | Yes |
| 101YM0800X | Counselor, Mental Health | 2497 | NE | |
| 101YP2500X | Counselor, Professional | 552 | NE | |
| 103G00000X | Clinical Neuropsychologist | 461 | NE | |
| 103T00000X | Psychologist | 636 | NE | |
| 103T00000X | Psychologist | 477 | NE | |
| 103T00000X | Psychologist | 527 | NE | |
| 103T00000X | Psychologist | 469 | NE | |
| 103TC2200X | Psychologist, Clinical Child & Adolescent | 2811 | NE |
Other names
- Behavioral Pediatric & Family Therapy Program (Doing Business As)
Practice location
1520 South 70th StreetSuite 200
Lincoln, NE 68506-1566
Phone 402-483-1936 · Fax 402-483-7314
Mailing address
1520 South 70th StreetSuite 200
Lincoln, NE 68506-1566
Phone 402-483-1936 · Fax 402-483-7314
Authorized official
Jami Givens
Member
4024831936
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