| Developmental Wellness | |
|
910 Washington St Pella IA 50219-1504 | |
| (515) 664-3244 | |
| (844) 519-7713 |
| Full Name | Developmental Wellness |
|---|---|
| Speciality | Behavior Analyst |
| Location | 910 Washington St, Pella, Iowa |
| Authorized Official Name and Position | Kyle Cervone (OWNER/CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 5156643422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Developmental Wellness 4912 Walker Cir Johnston IA 50131-2535 Ph: (515) 664-3244 | Developmental Wellness 910 Washington St Pella IA 50219-1504 Ph: (515) 664-3244 |
| NPI Number | 1063971166 |
|---|---|
| Provider Enumeration Date | 03/18/2019 |
| Last Update Date | 08/07/2023 |
| Certification Date | 08/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063971166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 103K00000X | Behavior Analyst | () | Primary |
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