Adventures In Social Drama | |
9121 Nw Windsor Dr Johnston IA 50131-2239 | |
(515) 306-0030 | |
Not Available |
Full Name | Adventures In Social Drama |
---|---|
Speciality | Behavior Analyst |
Location | 9121 Nw Windsor Dr, Johnston, Iowa |
Authorized Official Name and Position | Antoinette Mielke (FACILITATOR) |
Authorized Official Contact | 5153060030 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Adventures In Social Drama 9121 Nw Windsor Dr Johnston IA 50131-2239 Ph: (515) 306-0030 | Adventures In Social Drama 9121 Nw Windsor Dr Johnston IA 50131-2239 Ph: (515) 306-0030 |
NPI Number | 1609390624 |
---|---|
Provider Enumeration Date | 08/01/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609390624 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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