Organization
HEARTLAND PEDIATRIC FEEDING DISORDERS SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN DAVID CASEY PH.D., BCBA (CLINICAL DIRECTOR)
(515) 771-6248
Entity
Organization
Contact information
Practice address
121 HORSESHOE DR, MONTEZUMA, IA 50171-8416
(515) 771-6248
Mailing address
121 HORSESHOE DR, MONTEZUMA, IA 50171-8416
(515) 771-6248
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
10/20/2015
Last updated
11/18/2015
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