Individual
MS. KATHLEEN NOELLE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
100 E EUCLID AVE STE 29, DES MOINES, IA 50313-4564
(515) 207-5251
Mailing address
1319 SE DELAWARE AVE APT 4, ANKENY, IA 50021-4487
(515) 207-5251
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0699
NE
103K00000X
Behavior Analyst
Primary
118258
IA
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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