Most Relevant Information
Provider Data
NPI Number: | 1003431446 |
Provider Name: | TOMMY LAWSON BURRIEL |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 06/11/2020 |
Last Updated: | 01/17/2024 |
Provider Practice Location
1299 FARNAM ST STE 300
OMAHA
NE
681021857
Practice Location Phone/Fax
Phone: | 4029696633 |
Fax: |
Provider Mailing Location
1299 FARNAM ST STE 300
OMAHA
NE
681021857
Provider Mailing Phone/Fax
Phone: | 4029696633 |
Fax: |