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Organization
KP ENTERPRISES IOWA
Active
Organization
KP ENTERPRISES IOWA
Active
Other names
Axis ABA Therapy and Support Services
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN HANSON BCBA (PRESIDENT/OWNER)
(515) 291-3905
Entity
Organization
Contact information
Practice address
1555 SE DELAWARE AVE STE O, ANKENY, IA 50021-4011
(515) 261-2402
(515) 291-3905
Mailing address
1555 SE DELAWARE AVE STE O, ANKENY, IA 50021-4011
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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