NPI 1073327730

Douglas Pepper

Practitioner Behavior Technician Clive, IA

Practice location

Address: 13300 Hickman Rd STE 110, Clive, IA 50325-8616
Phone: (515) 987-8835
Mailing address: 308 N 16th St, Indianola, IA 50125-1649

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1073327730
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Feb 2025
Record last updated: 4 Feb 2025

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.