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NPI Code Detail

MEDICARE: LILLIAN WEDDLE

MEDICARE: LILLIAN WEDDLE
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1740112184
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILLIAN WEDDLE
Provider Business Mailing Address
First Line : 185 ROUTE 70 STE 302
Second Line :
City : TOMS RIVER
State : NJ
Zip : 08755-0911
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9802 NICHOLAS ST STE 395
Second Line :
City : OMAHA
State : NE
Zip : 68114-2168
Country : US
Telephone Number : 402-252-1363
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ LILLIAN WEDDLE ” Practice Location

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