Organization
KP ENTERPRISES IOWA
Active
Other names
Axis ABA Therapy and Support Services
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN HANSON BCBA (PRESIDENT/OWNER)
(515) 291-3905
Entity
Organization
Contact information
Practice address
1555 SE DELAWARE AVE STE O, ANKENY, IA 50021-4011
(515) 261-2402
(515) 291-3905
Mailing address
1555 SE DELAWARE AVE STE O, ANKENY, IA 50021-4011
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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