| Mobile Therapy Centers Of Iowa Llc | |
|
3520 Inverness Rd Waterloo IA 50701-4634 | |
| (847) 816-7200 | |
| Not Available |
| Full Name | Mobile Therapy Centers Of Iowa Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3520 Inverness Rd, Waterloo, Iowa |
| Authorized Official Name and Position | Jill Sepulveda (CREDENTIALLING SPECIALIST) |
| Authorized Official Contact | 8478167200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Therapy Centers Of Iowa Llc 854 Technology Way Libertyville IL 60048 Ph: () - | Mobile Therapy Centers Of Iowa Llc 3520 Inverness Rd Waterloo IA 50701-4634 Ph: (847) 816-7200 |
| NPI Number | 1588261705 |
|---|---|
| Provider Enumeration Date | 10/01/2020 |
| Last Update Date | 10/01/2020 |
| Certification Date | 09/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588261705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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