| Spirit Aba Ia Llc | |
|
1601 W Lakes Pkwy Ste 210 West Des Moines IA 50266-8230 | |
| (347) 792-4735 | |
| Not Available |
| Full Name | Spirit Aba Ia Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1601 W Lakes Pkwy Ste 210, West Des Moines, Iowa |
| Authorized Official Name and Position | Mark Moskowitz (CEO) |
| Authorized Official Contact | 5052956685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spirit Aba Ia Llc 1601 W Lakes Pkwy Ste 210 West Des Moines IA 50266-8230 Ph: (347) 792-4735 | Spirit Aba Ia Llc 1601 W Lakes Pkwy Ste 210 West Des Moines IA 50266-8230 Ph: (347) 792-4735 |
| NPI Number | 1952103913 |
|---|---|
| Provider Enumeration Date | 03/27/2025 |
| Last Update Date | 03/27/2025 |
| Certification Date | 03/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952103913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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