Provider Demographics
NPI:1366036873
Name:AMERICAN BEHAVIORAL CONSULTING OF IOWA LLC
Entity Type:Organization
Organization Name:AMERICAN BEHAVIORAL CONSULTING OF IOWA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACKALYNNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, MA
Authorized Official - Phone:352-999-0447
Mailing Address - Street 1:PO BOX 623
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:FL
Mailing Address - Zip Code:33576-0623
Mailing Address - Country:US
Mailing Address - Phone:352-999-0447
Mailing Address - Fax:
Practice Address - Street 1:44 STURGIS CORNER DR STE 4
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52246-5617
Practice Address - Country:US
Practice Address - Phone:352-999-0447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-24
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty