Individual
SARAH POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, 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) 402-4160
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
114631
IA
Other
Enumeration date
08/19/2022
Last updated
04/11/2023
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