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Organization
MOBILE THERAPY CENTERS OF IOWA LLC
Active
Organization
MOBILE THERAPY CENTERS OF IOWA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL SEPULVEDA (CREDENTIALLING SPECIALIST)
(847) 816-7200
Entity
Organization
Contact information
Practice address
3520 INVERNESS RD, WATERLOO, IA 50701-4634
(847) 816-7200
Mailing address
854 TECHNOLOGY WAY, LIBERTYVILLE, IL 60048
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NULL
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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