NPI 1073258208

Melissa Mark

Practitioner Behavior Technician Clive, IA

Practice location

Address: 1860 NW 118th St STE 100, Clive, IA 50325-8278
Phone: (515) 402-4455

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1073258208
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 May 2022
Record last updated: 2 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.