Wendlamita Fatim Aida Ouedraogo
Individual provider Active NPI Behavior Technician · Ralston, NE
NPI 1285489773 · NPPES record last updated Apr 18, 2024
Key facts
- NPI
- 1285489773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 6709 S 73Rd Street Cir Apt 5
Ralston, NE 68127-5316 - Phone
- (509) 900-8095
- NPI assigned
- Apr 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NE | Yes |
Addresses
Primary practice location
6709 S 73Rd Street Cir Apt 5
Ralston, NE 68127-5316
Mailing address
6709 S 73Rd Street Cir Apt 5
Ralston, NE 68127-5316
Other providers in Ralston, NE
- Madeline Zoey Mulder
- Melinda Newburn
- Rayvn Norman
- Michele Norris
- Joshua L Osmotherly
- Catherine N Payne
- Lillian Payne
- Nicole Michelle Pearson
- Billie Jo Pedersen
- Sherry Lynn Pedersen
All providers in Ralston, NE · Behavior Technician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.