JACQUE ELLIOTT DEWALT

OMAHA, NE
NPI1154901551
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: NE  0429)
Enumeration Date2021-04-09
Last Update Date2026-05-13
Business Address
JACQUE ELLIOTT DEWALT BCBA
8656 F ST
OMAHA, NE 68127-1639
Phone number: 402-252-1363
Mailing Address
JACQUE ELLIOTT DEWALT BCBA
2718 N 118TH ST APT 333
OMAHA, NE 68164-9680
Phone number: 808-868-7765