Healthcare Provider Details

I. General information

NPI: 1689588832
Provider Name (Legal Business Name): NOAH ALLEN DOANE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 E MILITARY AVE STE 220
FREMONT NE
68025-5433
US

IV. Provider business mailing address

1900 E MILITARY AVE STE 220
FREMONT NE
68025-5433
US

V. Phone/Fax

Practice location:
  • Phone: 531-666-0251
  • Fax: 402-552-2900
Mailing address:
  • Phone: 531-666-0251
  • Fax: 402-552-4900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: