Christifer Donald Ewing
Individual provider Active NPI Behavior Technician · MC Cook, NE
NPI 1891401964 · NPPES record last updated Jan 23, 2023
Key facts
- NPI
- 1891401964
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1006 W 5TH St
MC Cook, NE 69001-2546 - Phone
- (308) 737-7168
- NPI assigned
- Jan 23, 2023
- 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 Technician | 106S00000X | Yes |
Addresses
Primary practice location
1006 W 5TH St
MC Cook, NE 69001-2546
Mailing address
1006 W 5TH St
MC Cook, NE 69001-2546
Other providers in MC Cook, NE
- Erica Leigh Ellicott
- Ellington Eyecare PLLC
- Ashley Elliott
- Shayla Emory
- Taylor Erickson
- Hailey Farr
- Chris Farrell
- Farrells Pharmacy Inc
- Tanna Felcher
- Hope Ann Ferguson
All providers in MC Cook, 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 Jan 23, 2023. 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.