Healthcare Provider Details

I. General information

NPI: 1922962778
Provider Name (Legal Business Name): HALEY LAMBLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date: 06/18/2026
Reactivation Date: 07/28/2026

III. Provider practice location address

3801 UNION DR STE 206
LINCOLN NE
68516-6652
US

IV. Provider business mailing address

3421 PAWNEE ST
LINCOLN NE
68506-3253
US

V. Phone/Fax

Practice location:
  • Phone: 402-860-8811
  • Fax:
Mailing address:
  • Phone: 402-860-8811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberBACB1602864
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: