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Organization
SPIRIT ABA IA LLC
Active
Organization
SPIRIT ABA IA LLC
Active
Other names
Spirit ABA IA LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KAUFMAN (CEO)
(505) 295-6685
Entity
Organization
Contact information
Practice address
1601 W LAKES PKWY STE 210, WEST DES MOINES, IA 50266-8230
(347) 792-4735
Mailing address
1601 W LAKES PKWY STE 210, WEST DES MOINES, IA 50266-8230
(347) 792-4735
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
06/23/2025
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