Will Carnazzo

Individual provider Active NPI Behavior Technician · Omaha, NE

NPI 1184488041 · NPPES record last updated Feb 13, 2025

Key facts

NPI
1184488041
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
6902 Pine St
Omaha, NE 68106-2855
Phone
(402) 836-9948
NPI assigned
Feb 12, 2024
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

6902 Pine St
Omaha, NE 68106-2855

Mailing address

985450 Nebraska Medical Ctr
Omaha, NE 68198-5450
Phone (402) 559-8943

Other providers in Omaha, NE

All providers in Omaha, NE · Behavior Technician in Nebraska

Sources for this page

Verify at the official NPI Registry.