NPI 1609390624 · live from the CMS NPI Registry
Adventures In Social Drama
Behavior Analyst in Johnston, IA. National Provider Identifier 1609390624, active.
NPI record
| NPI | 1609390624 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 9121 Nw Windsor Dr, Johnston, IA 50131 |
| Practice phone | 515-306-0030 |
| Enumerated | August 1, 2017 |
| Last updated | July 21, 2022 |
| Authorized official | Antoinette Mielke, Facilitator |
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.