Nicole Boedecker

NPI #1629865068 in La Vista, Nebraska

Provider Information

NPI Number: 1629865068
Entity Type: Individual
Name: Nicole Boedecker
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 21, 2025
Last Updated: Apr 21, 2025

Practice Location

Address: 10717 VIRGINIA PLZ STE 113
City: La Vista
State: Nebraska
ZIP Code: 68128-3255
Phone: (402) 926-4373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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