Provider Demographics
NPI:1306407929
Name:CARTEE, ROSE (MS IN ABA)
Entity Type:Individual
Prefix:
First Name:ROSE
Middle Name:
Last Name:CARTEE
Suffix:
Gender:F
Credentials:MS IN ABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 N ANKENY BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-1756
Mailing Address - Country:US
Mailing Address - Phone:515-963-4528
Mailing Address - Fax:
Practice Address - Street 1:110 N ANKENY BLVD STE 300
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-1756
Practice Address - Country:US
Practice Address - Phone:515-963-4528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-25
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA19-8488-187166103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1467972810OtherCLINIC NPI