Organization
ADVENTURES IN SOCIAL DRAMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOINETTE MIELKE (FACILITATOR)
(515) 306-0030
Entity
Organization
Contact information
Practice address
9121 NW WINDSOR DR, JOHNSTON, IA 50131-2239
(515) 306-0030
Mailing address
9121 NW WINDSOR DR, JOHNSTON, IA 50131-2239
(515) 306-0030
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/01/2017
Last updated
07/21/2022
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