Individual
GATWECH RUACH MIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6701 CORPORATE DR # 4123, JOHNSTON, IA 50131-1659
(515) 220-7311
Mailing address
1570 SADLER DR, NORTH LIBERTY, IA 52317-8047
(319) 471-6685
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
118240
IA
Other
Enumeration date
06/25/2025
Last updated
05/11/2026
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