Organization
SPIRIT ABA IA LLC
Active
Other names
Spirit ABA IA LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KAUFMAN (CEO)
(505) 295-6685
Entity
Organization
Contact information
Practice address
1601 W LAKES PKWY STE 210, WEST DES MOINES, IA 50266-8230
(347) 792-4735
Mailing address
1601 W LAKES PKWY STE 210, WEST DES MOINES, IA 50266-8230
(347) 792-4735
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
06/23/2025
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