NPI 1073966396 · live from the CMS NPI Registry
Ryan Groeneweg, Ed.S., BCBA
Behavior Analyst in Sheldon, IA. National Provider Identifier 1073966396, active.
NPI record
| NPI | 1073966396 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 330 Village Cir, Sheldon, IA 51201 |
| Practice phone | 712-324-5417 |
| Enumerated | July 21, 2016 |
| Last updated | July 26, 2016 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-10-6842 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.