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Organization
DEVELOPMENTAL WELLNESS
Active
Organization
DEVELOPMENTAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE CERVONE BCBA (OWNER/CHIEF CLINICAL OFFICER)
(515) 664-3422
Entity
Organization
Contact information
Practice address
910 WASHINGTON ST, PELLA, IA 50219-1504
(515) 664-3244
(844) 519-7713
Mailing address
4912 WALKER CIR, JOHNSTON, IA 50131-2535
(515) 664-3244
(844) 519-7713
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
03/18/2019
Last updated
08/07/2023
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