Healthcare Provider Details

I. General information

NPI: 1568959351
Provider Name (Legal Business Name): KELSEY SCHIEFEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2018
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3215 CUMING ST
OMAHA NE
68131-2000
US

IV. Provider business mailing address

6517 BLONDO ST
OMAHA NE
68104-4725
US

V. Phone/Fax

Practice location:
  • Phone: 531-299-9748
  • Fax:
Mailing address:
  • Phone: 402-206-1659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-21-12260
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-85144
License Number StateNE
# 4
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number18-52892
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: