Most Relevant Information
Provider Data
| NPI Number: | 1003421215 |
| Provider Name: | ANDREA LEA BEISNER |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | BACB599368 |
Most Important Dates
| Enumeration Date: | 09/14/2020 |
| Last Updated: | 09/14/2020 |
Provider Practice Location
900 N ST STE A
GERING
NE
693413335
Practice Location Phone/Fax
| Phone: | 2082175529 |
| Fax: |
Provider Mailing Location
23 AAA SUB
LEWELLEN
NE
691472505
Provider Mailing Phone/Fax
| Phone: | 7209288020 |
| Fax: |