Individual
BROOKLYN COE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7755 OFFICE PLAZA DR N STE 105, WEST DES MOINES, IA 50266-2339
(515) 505-7283
Mailing address
616 NE 9TH ST, GRIMES, IA 50111-2202
(515) 729-8007
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-01293
IA
Other
Enumeration date
09/28/2023
Last updated
12/10/2025
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