Healthcare Provider Details

I. General information

NPI: 1124954326
Provider Name (Legal Business Name): MILAYNA WALTMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 UNION DR STE 206
LINCOLN NE
68516-6652
US

IV. Provider business mailing address

391 W CHARLESTON ST APT 222
LINCOLN NE
68528-1463
US

V. Phone/Fax

Practice location:
  • Phone: 402-432-4372
  • Fax:
Mailing address:
  • Phone: 605-787-3013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-548188
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: