Organization
EXCEPTIONAL KIDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMAAL YOUNG PH.D. (OWNER)
(319) 481-3555
Entity
Organization
Contact information
Practice address
1916 BROWN DEER RD, CORALVILLE, IA 52241-1161
(319) 481-3555
Mailing address
PO BOX 5448, CORALVILLE, IA 52241-0448
(319) 481-3555
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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