Alyssa Jo Holt

Individual provider Active NPI Behavior Technician · Gothenburg, NE

NPI 1235925926 · NPPES record last updated Apr 17, 2025

Key facts

NPI
1235925926
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
705 6TH St
Gothenburg, NE 69138-2324
Phone
(308) 539-1148
NPI assigned
Apr 17, 2025
Sex
Female
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

705 6TH St
Gothenburg, NE 69138-2324

Mailing address

14301 FNB Pkwy Ste 100
Omaha, NE 68154-7200
Phone (402) 807-7447

Other providers in Gothenburg, NE

All providers in Gothenburg, NE · Behavior Technician in Nebraska

Sources for this page

Verify at the official NPI Registry.