NPI 1669070751 · live from the CMS NPI Registry
Mary Holmes, Master's
Behavior Analyst in West Des Moines, IA. National Provider Identifier 1669070751, active.
NPI record
| NPI | 1669070751 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 7755 Office Plaza Dr N Ste 105, West Des Moines, IA 50266 |
| Practice phone | 515-505-7283 |
| Mailing address | 4506 Nw 164th St, Clive, IA 50325 |
| Enumerated | October 12, 2020 |
| Last updated | February 14, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.