IndividualActive
Justin Liedke
NPI 1790519130 · Behavior Technician · Omaha, NE
Justin Liedke is a Behavior Technician provider in Omaha, NE (NPI 1790519130).
Provider details
- NPI number
- 1790519130
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 24-373336 (NE)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6420 S 193rd Ave Ste 100
Omaha, NE 68135-3948
Phone: (574) 387-4313
Street-level locationGet directions
Mailing address
215 Red Coach Dr
Mishawaka, IN 46545-8307
Registry dates
- Enumerated
- 2024-08-28
- Last updated
- 2024-08-28
- Certified
- 2024-08-28
Frequently asked questions
- What is Justin Liedke's NPI number?
- Justin Liedke's National Provider Identifier (NPI) is 1790519130, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Liedke's specialty?
- Justin Liedke is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Justin Liedke located?
- Justin Liedke's practice location on file with NPPES is 6420 S 193rd Ave Ste 100, Omaha, NE 68135-3948.
- What is Justin Liedke's phone number?
- The practice phone number listed in the NPPES registry for Justin Liedke is (574) 387-4313.
- Is Justin Liedke's NPI active?
- Yes — Justin Liedke's NPI (1790519130) is active in the NPPES registry as of the last update on 2024-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.