Organization
BALANCE AUTISM
Active
Other names
THE HOMESTEAD
Organization subpart
No
Provider details
NPI number
Authorized official
LUANN JAHNER (OPERATIONS DIR)
(515) 957-3342
Entity
Organization
Contact information
Practice address
1625 ADVENTURELAND DR STE B, ALTOONA, IA 50009-2237
(515) 957-3342
(515) 957-3380
Mailing address
1625 ADVENTURELAND DR STE B, ALTOONA, IA 50009-2237
(515) 967-4369
(515) 957-3380
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0746768
—
IA
Enumeration date
04/17/2007
Last updated
01/23/2025
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