Nicole Demchuk
Behavior Analyst in Omaha, NE. Individual provider (NPI-1).
NPI number1982249983
StatusActive
Last updated in NPPESSep 15, 2021
Details
- NPI
- 1982249983
- Entity type
- Individual (NPI-1)
- Name
- Nicole Demchuk
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 13, 2019
- Certification date
- Sep 15, 2021
- Last updated
- Sep 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-19-38066 | CA | Yes |
Practice location
6902 Pine StOmaha, NE 68106-2855
Phone 402-559-7363
Mailing address
985450 Nebraska Medical CtrOmaha, NE 68198-2855
Phone 402-559-6418
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