Individual
JOSEPHINE LIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT, BCBA
Contact information
Practice address
5627 NW 86TH ST STE 300, JOHNSTON, IA 50131-2605
(515) 304-9545
Mailing address
11635 NW BEAVER DR, GRANGER, IA 50109-9762
(319) 883-6556
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-01575
IA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/18/2023
Last updated
05/29/2026
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