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1013560408
TINA PUHALLA
LA VISTA, NE
NPI
1013560408
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106E00000X Assistant Behavior Analyst
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2019-07-24
Last Update Date
2023-11-10
Business Address
TINA PUHALLA RBT
11412 CENTENNIAL RD STE 100
LA VISTA, NE 68128-5546
Phone number: 402-916-4539
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Mailing Address
TINA PUHALLA RBT
9412 GILES RD STE 101
LA VISTA, NE 68128-3064
Phone number: 402-916-4539
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