NPI 1720625965 · live from the CMS NPI Registry
Stacy Balfour, BCBA
Behavior Analyst in Johnston, IA. National Provider Identifier 1720625965, active.
NPI record
| NPI | 1720625965 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 5406 Merle Hay Rd, Johnston, IA 50131 |
| Practice phone | 515-727-8750 |
| Enumerated | December 6, 2019 |
| Last updated | June 2, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | 1-19-34938 (IA) |
| Behavior Analyst primary | 103K00000X | 1-19-34938 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.