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NPI Code Detail

MEDICARE: NEBRASKA NEUROBEHAVIORAL SERVICES INC

MEDICARE: NEBRASKA NEUROBEHAVIORAL SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253J00000XFoster Care Agency
2253Z00000XIn Home Supportive Care Agency
3252Y00000XEarly Intervention Provider Agency
4251C00000XDevelopmentally Disabled Services Day Training Agency
5251B00000XCase Management Agency
6251E00000XHome Health Agency
7251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1134463714
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEBRASKA NEUROBEHAVIORAL SERVICES INC
Provider Business Mailing Address
First Line : 10306 ELLISON CIR
Second Line :
City : OMAHA
State : NE
Zip : 68134-1024
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10306 ELLISON CIR
Second Line :
City : OMAHA
State : NE
Zip : 68134-1024
Country : US
Telephone Number : 402-515-4874
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. R JUSTICE BRAIMAH
Credential : PHD, LPC, LIMHP
Telephone Number : 402-515-4874
Provider Enumeration Date : 11/20/2012
Last Update Date : 01/26/2026

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Directions to “NEBRASKA NEUROBEHAVIORAL SERVICES INC ” Practice Location

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