Individual
ANTOINETTE MIELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
9121 NW WINDSOR DR, JOHNSTON, IA 50131-2239
(515) 306-0030
Mailing address
9121 NW WINDSOR DR, JOHNSTON, IA 50131-2239
(515) 306-0030
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-49886
IA
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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