MEDICARE: MADISON WOLZ

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1942139514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADISON WOLZ

Provider Business Mailing Address
First Line	:	9124 FRANKLIN ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68114-1300
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14301 FNB PKWY STE 100
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68154-7200
Country	:	US
Telephone Number	:	402-807-7447
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/19/2026

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Directions to “ MADISON WOLZ ” Practice Location

Language	Start Address	Practice Location

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