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MIDWEST AUTISM AND THERAPY CENTER OF IOWA LLC NPI 1235856915


NPI Information

NPI: 1235856915
Provider Name: MIDWEST AUTISM AND THERAPY CENTER OF IOWA, LLC

Doing Business As: MIDWEST AUTISM AND THERAPY CENTER OF MINNESOTA

Classification: Behavior Analyst - 103K00000X
Entity Type: Organization
Address:
748 BIELENBERG DR STE 140
WOODBURY, MN
ZIP 55125
Phone: (515) 446-2075
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MIDWEST AUTISM AND THERAPY CENTER OF IOWA, LLC is a behavior analyst in Woodbury, MN. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. MIDWEST AUTISM AND THERAPY CENTER OF IOWA, LLC NPI is 1235856915. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Midwest Autism And Therapy Center Of Minnesota.

The provider's business location address is:

748 BIELENBERG DR STE 140
WOODBURY, MN
ZIP 55125-407
Phone: (515) 446-2075

The provider's authorized official is Rachael Morasky .
The authorized official title is Manager and has the following contact phone number (775) 342-5817.

The enumeration date for this NPI number is 10/24/2022 and was last updated on 10/24/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103K00000XBehavior AnalystYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15154463420OTHERMINNESOTAPHONE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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