Individual
MS. KARA LYNNE JORGENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1860 NW 118TH ST STE 100, CLIVE, IA 50325-8278
(515) 402-4130
Mailing address
1860 NW 118TH ST STE 100, CLIVE, IA 50325-8278
(515) 402-4130
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-27234
IA
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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