Individual
STEWART BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
502 MARKET ST, HARLAN, IA 51537-1411
(402) 713-1100
Mailing address
215 4TH AVE SE STE 300, CEDAR RAPIDS, IA 52401-1844
(866) 496-4073
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-71224
IA
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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