# MOBILE THERAPY CENTERS OF IOWA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588261705
- **Authorized official:** JILL SEPULVEDA (CREDENTIALLING SPECIALIST)
- **Authorized official phone:** (847) 816-7200

## Contact information

- **Practice address:** 3520 INVERNESS RD, WATERLOO, IA 50701-4634
- **Practice address phone:** (847) 816-7200
- **Mailing address:** 854 TECHNOLOGY WAY, LIBERTYVILLE, IL 60048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |

## Other

- **Enumeration date:** 10/01/2020
- **Last updated:** 10/01/2020