| Good Life Aba, Llc | |
|
11286 S 200th St Gretna NE 68028-4541 | |
| (402) 590-5950 | |
| (402) 590-8165 |
| Full Name | Good Life Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 11286 S 200th St, Gretna, Nebraska |
| Authorized Official Name and Position | Eric Michael Shults (DIRECTOR OF CLINICAL SERVICES) |
| Authorized Official Contact | 4025908175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Life Aba, Llc 11286 S 200th St Gretna NE 68028-4541 Ph: (402) 590-5950 | Good Life Aba, Llc 11286 S 200th St Gretna NE 68028-4541 Ph: (402) 590-5950 |
| NPI Number | 1942006168 |
|---|---|
| Provider Enumeration Date | 02/19/2025 |
| Last Update Date | 02/19/2025 |
| Certification Date | 02/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942006168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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