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NPI Code Detail

MEDICARE: JUSTICE POMERLEAU-JOSLYN

MEDICARE: JUSTICE POMERLEAU-JOSLYN
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 TechnicianRBT-23-319031NE

General Provider Information

NPI Number : 1851153423
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTICE POMERLEAU-JOSLYN
Provider Business Mailing Address
First Line : 2304 N EASTWOOD ST LOT 45
Second Line :
City : NORFOLK
State : NE
Zip : 68701-1909
Country : US
Telephone Number : 402-750-1331
Fax Number :
Provider Business Practice Location Address
First Line : 1299 FARNAM ST STE 300
Second Line :
City : OMAHA
State : NE
Zip : 68102-1857
Country : US
Telephone Number : 402-347-4191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2024
Last Update Date : 03/16/2026

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Directions to “ JUSTICE POMERLEAU-JOSLYN ” Practice Location

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