| A New Start Aba Ia Llc | |
|
6165 Nw 86th St Ste 100 Johnston IA 50131-2270 | |
| (303) 970-6555 | |
| Not Available |
| Full Name | A New Start Aba Ia Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6165 Nw 86th St Ste 100, Johnston, Iowa |
| Authorized Official Name and Position | G. Nissel (DIRECTOR) |
| Authorized Official Contact | 3039706555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A New Start Aba Ia Llc 6165 Nw 86th St Ste 100 Johnston IA 50131-2270 Ph: () - | A New Start Aba Ia Llc 6165 Nw 86th St Ste 100 Johnston IA 50131-2270 Ph: (303) 970-6555 |
| NPI Number | 1568284818 |
|---|---|
| Provider Enumeration Date | 10/28/2024 |
| Last Update Date | 10/28/2024 |
| Certification Date | 10/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568284818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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