Individual
CARISSA LYNNE PREVENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
700 BELL DR SW, CEDAR RAPIDS, IA 52404-7406
(319) 294-9577
Mailing address
450 1ST ST SW APT 404, CEDAR RAPIDS, IA 52404-5745
(319) 721-1060
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
IA
Other
Enumeration date
07/30/2020
Last updated
12/21/2023
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