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NPI Code Detail

MEDICARE: JENNIFER GULLIVER RBT

MEDICARE: JENNIFER GULLIVER RBT
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 : 1902790249
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER GULLIVER RBT
Provider Business Mailing Address
First Line : 420 S WASHINGTON ST
Second Line :
City : PAPILLION
State : NE
Zip : 68046-2667
Country : US
Telephone Number : 402-537-6200
Fax Number :
Provider Business Practice Location Address
First Line : 420 S WASHINGTON ST
Second Line :
City : PAPILLION
State : NE
Zip : 68046-2667
Country : US
Telephone Number : 402-537-6200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2025
Last Update Date : 01/23/2026

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Directions to “ JENNIFER GULLIVER RBT” Practice Location

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