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Individual

MRS. JOSIE MARIE HUPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED, BCBA

Contact information

Practice address
1860 NW 118TH ST, CLIVE, IA 50325-8278
(515) 402-4130
Mailing address
35576 WALNUT ST, BOONEVILLE, IA 50038-3301
(515) 564-9646

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
10/11/2018
Last updated
04/24/2019
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