NPI 1770955536 · live from the CMS NPI Registry
Heartland Pediatric Feeding Disorders Services
Behavior Analyst in Montezuma, IA. National Provider Identifier 1770955536, active.
NPI record
| NPI | 1770955536 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 121 Horseshoe Dr, Montezuma, IA 50171 |
| Practice phone | 515-771-6248 |
| Enumerated | October 20, 2015 |
| Last updated | November 18, 2015 |
| Authorized official | Sean Casey, Clinical Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management | 251B00000X | — |
| Day Training, Developmentally Disabled Services | 251C00000X | — |
| Early Intervention Provider Agency | 252Y00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.