NPI 1114490992 · live from the CMS NPI Registry
Behavior Associates Of Iowa LLC
Behavior Analyst in Urbandale, IA. National Provider Identifier 1114490992, active.
NPI record
| NPI | 1114490992 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 2844 104th St, Urbandale, IA 50322 |
| Practice phone | 515-630-0274 |
| Mailing address | 3601 W Bethel Ave, Muncie, IN 47304 |
| Enumerated | January 4, 2019 |
| Last updated | August 28, 2023 |
| Authorized official | Jessica Marken, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.