Dereus, Kennedy

Dereus, Kennedy is an individual health care provider with primary practice located at 1299 Farnam St Ste 300 , Omaha NE 68102-1857. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Dereus, Kennedy can be contacted via phone (402) 252-1363.

Contact Information

Primary practice address
1299 Farnam St Ste 300 Omaha NE 68102-1857
Phone: (402) 252-1363
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-21-194880 Nebraska

Profile Details

NPI number 1922766427
LBN Legal business name Dereus, Kennedy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2021
Last updated Dec 1st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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