MOBILE THERAPY CENTERS OF IOWA LLC (NPI# 1588261705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588261705 |
| Entity Type | Organization |
| Organization Name | MOBILE THERAPY CENTERS OF IOWA LLC |
| Practice Address |
3520 Inverness Rd Waterloo IA 50701-4634 |
| Mailing Address |
854 Technology Way Libertyville IL 60048 |
| Practice Telephone | 8478167200 |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |
| Authorized Official Name | JILL SEPULVEDA (CREDENTIALLING SPECIALIST) |
| Authorized Official Telephone | 8478167200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | MOBILE THERAPY CENTERS OF IOWA LLC | 520 Inverness Road, Des Moines, IA 50701 |
| Street Address |
3520 INVERNESS RD |
| City | WATERLOO |
| State | IA |
| Zip Code | 50701-4634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548757586 | Shawna Harvey | Optometrist | 999 Home Plz Ste 100, Waterloo, IA 50701 | 2018-04-16 |
| 1831693290 | Blue Gregory Boyer | Counselor | 3362 University Ave., Waterloo, IA 50701 | 2018-03-21 |
| 1518460666 | Tom Taylor | Specialist | 974 Home Plaza, Waterloo, IA 50701 | 2018-03-15 |
| 1194247551 | Homelink Sanford | Durable Medical Equipment & Medical Supplies | 1111 W San Marnan Drive, Waterloo, IA 50701 | 2017-07-07 |
| 1932471109 | Walgreens | Pharmacy | 111 W Ridgeway Avenue, Waterloo, IA 50701 | 2012-02-03 |
| 1598055188 | Knox Eyecare | Optometrist | 1030 Alabar Ave., Waterloo, IA 50701 | 2011-04-15 |
| 1013222330 | Ashley Lynn Charmichael | Dentist | 220 W. Ridgeway Ave., Suite 201, Waterloo, IA 50701 | 2010-08-11 |
| 1396062311 | Gwendoline Fang | Obstetrics & Gynecology | 1015 S. Hackett Road Suite 200, Department of Ob/gyn, Waterloo, IA 50701 | 2010-04-29 |
| 1013234194 | Ryan Norman Borgwardt | Dentist | 820 Fisher Drive, Waterloo, IA 50701 | 2010-04-28 |
| 1629302310 | Rhonda Kay Herum | Social Worker | 3731 Pheasant Lane #203, Waterloo, IA 50701 | 2009-09-28 |
| Find all providers in zip 50701 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891043790 | Jessica Mary Fletcher | Behavioral Analyst | 3322 N 265th Ct, Waterloo, NE 68069-5820 | 2012-08-27 |
| 1740711803 | Mary Jo Renzaglia-weir | Behavioral Analyst | 988 N Illinois Route 3, Waterloo, IL 62298-1000 | 2017-03-21 |
| 1417339987 | Rachael Faye Dompke | Behavioral Analyst | 988 N Illinois Route 3, Waterloo, IL 62298-1000 | 2015-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372185 | Kathleen Maureen Vantol | Behavioral Analyst | 548 6th St Nw, Sioux Center, IA 51250-1950 | 2020-10-07 |
| 1396352779 | Dordt University | Behavioral Analyst | 1124 7th Ave Ne, Sioux Center, IA 51250-2118 | 2020-09-29 |
| 1902415409 | Carissa Lynne Serbousek | Behavioral Analyst | 700 Bell Dr Sw, Cedar Rapids, IA 52404-7406 | 2020-07-30 |
| 1831716356 | Tina Ann Cobbs | Behavioral Analyst | 2610 Chicago Ave, Sioux City, IA 51106-1006 | 2020-06-30 |
| 1265056113 | Ashley M Andrew | Behavioral Analyst | 29295 I Ave, Adel, IA 50003-5539 | 2020-06-05 |
| 1780228270 | Laura Lee Wilcke | Behavioral Analyst | 1020 Buddy Holly Place, Clear Lake, IA 50428 | 2019-10-29 |
| 1518515691 | Sue's Kids | Behavioral Analyst | 1806 Sycamore Ave, Atlantic, IA 50022-2828 | 2019-08-31 |
| 1114490992 | Behavior Associates of Iowa LLC | Behavioral Analyst | 2844 104th St, Urbandale, IA 50322-3813 | 2019-01-04 |
| 1205303641 | Sarah Marie Hawley | Behavioral Analyst | 138 1st Ave Se, Sioux Center, IA 51250-1521 | 2018-10-24 |
| 1922580489 | Exceptional Kids LLC | Behavioral Analyst | 1916 Brown Deer Rd, Coralville, IA 52241-1161 | 2018-08-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.