Lutina Vesolo
Behavior Technician in Lincoln, NE. Individual provider (NPI-1).
NPI number1619705878
StatusActive
Last updated in NPPESFeb 10, 2025
Details
- NPI
- 1619705878
- Entity type
- Individual (NPI-1)
- Name
- Lutina Vesolo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2024
- Certification date
- Feb 10, 2025
- Last updated
- Feb 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2320 S 48th St Ste 101Lincoln, NE 68506-5513
Phone 402-218-4667
Mailing address
8922 Cuming StOmaha, NE 68114-2732
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