Individual
KARISSA BEUTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 LIONS DR, NORTH LIBERTY, IA 52317-9575
(574) 607-4511
Mailing address
3 LIONS DR, NORTH LIBERTY, IA 52317-9575
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
ABA-01002
IA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/21/2022
Last updated
02/24/2025
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