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Trevor Shamblee

Behavior Technician in Omaha, NE. Individual provider (NPI-1).

NPI number1841018447
StatusActive
Last updated in NPPESOct 1, 2024

Details

NPI
1841018447
Entity type
Individual (NPI-1)
Name
Trevor Shamblee
Sex
Male
Sole proprietor
No
Enumeration date
Oct 1, 2024
Certification date
Oct 1, 2024
Last updated
Oct 1, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–NEYes

Practice location

14301 Fnb Parkway
Suite 100
Omaha, NE 68154

Phone 402-807-7447

Mailing address

14301 Fnb Parkway
Suite 100
Omaha, NE 68154

Phone 402-807-7447

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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