Individual
JILL YVONNE BLOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1860 NW 118TH ST STE 100, CLIVE, IA 50325-8278
(515) 402-4130
(515) 957-3380
Mailing address
3105 EP TRUE PKWY APT 516, WEST DES MOINES, IA 50265-5655
(515) 321-1283
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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