Douglas Boe, BCBA
Individual provider Active NPI Behavior Analyst · Bellevue, NE
NPI 1457746091 · NPPES record last updated Nov 10, 2022
Key facts
- NPI
- 1457746091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-09-5082 (NE)
- Practice address
- 1001 Fort Crook Rd N Ste 204
Bellevue, NE 68005-4226 - Phone
- (402) 934-1084
- NPI assigned
- Mar 31, 2015
- Sex
- Male
- 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 Analyst | 103K00000X | 1-09-5082 | NE | Yes |
Addresses
Primary practice location
1001 Fort Crook Rd N Ste 204
Bellevue, NE 68005-4226
Mailing address
8300 Jefferson St NE Ste B
Albuquerque, NM 87113-1734
Phone (402) 575-7556
Other practice location 1
6165 NW 86th St # 2317
Johnston, IA 50131-2270
Phone (402) 575-7556
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-09-5082 | Other | NE | BCBA |
Other providers in Bellevue, NE
- Sarah T Blomenkamp
- Amy Sue Blue
- Ciara Aileen Blue
- Dixie M Board
- Prosper Bodjona
- Gail Boehne
- Christina A Boggess
- Shawna Bohner
- Kristy Bolton
- Latoya N Bonam
All providers in Bellevue, NE · Behavior Analyst in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2022. 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.