NPI 1124843487 · live from the CMS NPI Registry
Stewart Black, BCBA
Behavior Analyst in Harlan, IA. National Provider Identifier 1124843487, active.
NPI record
| NPI | 1124843487 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 502 Market St, Harlan, IA 51537 |
| Practice phone | 402-713-1100 |
| Mailing address | 215 4th Ave Se Ste 300, Cedar Rapids, IA 52401 |
| Enumerated | November 20, 2024 |
| Last updated | November 20, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-24-71224 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.