| Jaybird Aba Llc | |
|
202 S 9th St Indianola IA 50125-2824 | |
| (520) 429-6863 | |
| Not Available |
| Full Name | Jaybird Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 202 S 9th St, Indianola, Iowa |
| Authorized Official Name and Position | Nicola Brummer (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5204296863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaybird Aba Llc 202 S 9th St Indianola IA 50125-2824 Ph: (520) 429-6863 | Jaybird Aba Llc 202 S 9th St Indianola IA 50125-2824 Ph: (520) 429-6863 |
| NPI Number | 1083406243 |
|---|---|
| Provider Enumeration Date | 05/21/2025 |
| Last Update Date | 05/21/2025 |
| Certification Date | 05/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083406243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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