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NPI Code Detail

MEDICARE: MIA WEBB

MEDICARE: MIA WEBB
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
13747P1801XPersonal Care Attendant
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1134822752
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIA WEBB
Provider Business Mailing Address
First Line : 5025 BINNEY ST
Second Line :
City : OMAHA
State : NE
Zip : 68104-3550
Country : US
Telephone Number : 402-578-5748
Fax Number :
Provider Business Practice Location Address
First Line : 14210 ARBOR ST STE A
Second Line :
City : OMAHA
State : NE
Zip : 68144-2382
Country : US
Telephone Number : 531-999-1133
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2023
Last Update Date : 02/02/2026

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Directions to “ MIA WEBB ” Practice Location

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