| Innovative Behavioral Therapy, Llc | |
|
915 Main St Adel IA 50003-1452 | |
| (712) 899-3559 | |
| Not Available |
| Full Name | Innovative Behavioral Therapy, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 915 Main St, Adel, Iowa |
| Authorized Official Name and Position | Ashley Andrew (OWNER) |
| Authorized Official Contact | 7128993559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Behavioral Therapy, Llc 915 Main St Adel IA 50003-1452 Ph: (712) 899-3559 | Innovative Behavioral Therapy, Llc 915 Main St Adel IA 50003-1452 Ph: (712) 899-3559 |
| NPI Number | 1912510868 |
|---|---|
| Provider Enumeration Date | 08/28/2020 |
| Last Update Date | 08/28/2020 |
| Certification Date | 08/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912510868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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