NPI 1770163057 · live from the CMS NPI Registry
Justine E Ayres
Behavior Analyst in Des Moines, IA. National Provider Identifier 1770163057, active.
NPI record
| NPI | 1770163057 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 2680 Fleur Dr, Des Moines, IA 50321 |
| Practice phone | 515-207-5251 |
| Enumerated | April 12, 2021 |
| Last updated | July 3, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | 105792 (IA) |
| Behavior Analyst primary | 103K00000X | 1-20-43948 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.