Wendlamita Fatim Aida Ouedraogo

NPI #1285489773 in Ralston, Nebraska

Provider Information

NPI Number: 1285489773
Entity Type: Individual
Name: Wendlamita Fatim Aida Ouedraogo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Apr 18, 2024
Last Updated: Apr 18, 2024

Practice Location

Address: 6709 S 73RD STREET CIR APT 5
City: Ralston
State: Nebraska
ZIP Code: 68127-5316
Phone: (509) 900-8095

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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