Genesis Rostran
Behavior Technician in Omaha, NE. Individual provider (NPI-1).
NPI number1962242537
StatusActive
Last updated in NPPESNov 25, 2024
Details
- NPI
- 1962242537
- Entity type
- Individual (NPI-1)
- Name
- Genesis Rostran
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 30, 2024
- Certification date
- Nov 25, 2024
- Last updated
- Nov 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-24-336149 | GA | Yes |
Practice location
8922 Cuming StOmaha, NE 68114-2732
Phone 402-926-4373
Mailing address
8922 Cuming StOmaha, NE 68114-2732
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