Individual
RYAN GROENEWEG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.S., BCBA
Contact information
Practice address
330 VILLAGE CIR, SHELDON, IA 51201-1243
(712) 324-5417
Mailing address
330 VILLAGE CIR, SHELDON, IA 51201-1243
(712) 324-5417
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-6842
IA
Other
Enumeration date
07/21/2016
Last updated
07/26/2016
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