Kennedy Dereus
Kennedy Dereus is a Behavior Technician in Omaha, Nebraska. Licensed in Nebraska. Registered with an NPI since 2021.
- Licensed in
- NE
- In the registry since
- 2021
Practice location Address checks out
1299 Farnam St Ste 300Omaha, NE 68102-1857
Phone: (402) 252-1363
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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 RBT-21-194880 (NE) |
|---|
Record details
| NPI number | 1922766427 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 1, 2021 |
| Last updated in NPPES | December 1, 2021 |
| Certification date | December 1, 2021 |
| Mailing address | 311 Boulevard Of Americas Ste 314, Lakewood, NJ 08701-4788 |
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