Organization
A NEW START ABA IA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
G. NISSEL (DIRECTOR)
(303) 970-6555
Entity
Organization
Contact information
Practice address
6165 NW 86TH ST STE 100, JOHNSTON, IA 50131-2270
(303) 970-6555
Mailing address
6165 NW 86TH ST STE 100, JOHNSTON, IA 50131-2270
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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