Justin Liedke
Justin Liedke is a Behavior Technician in Omaha, Nebraska. Licensed in Nebraska. Registered with an NPI since 2024.
- Licensed in
- NE
- In the registry since
- 2024
Practice location Address checks out
6420 S 193rd Ave Ste 100Omaha, NE 68135-3948
Phone: (574) 387-4313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence 24-373336 (NE) |
|---|
Record details
| NPI number | 1790519130 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 28, 2024 |
| Last updated in NPPES | August 28, 2024 |
| Certification date | August 28, 2024 |
| Mailing address | 215 Red Coach Dr, Mishawaka, IN 46545-8307 |
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