NPI 1861035842 · live from the CMS NPI Registry
Michaela Brueland
Behavior Analyst in Clive, IA. National Provider Identifier 1861035842, active.
NPI record
| NPI | 1861035842 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 9902 Swanson Blvd, Clive, IA 50325 |
| Practice phone | 515-261-2402 |
| Enumerated | October 23, 2019 |
| Last updated | August 18, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 109832 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.