Robert S Von Der Becke
Behavior Technician in Aurelia, IA. Individual provider (NPI-1).
NPI number1194482794
StatusActive
Last updated in NPPESNov 18, 2021
Details
- NPI
- 1194482794
- Entity type
- Individual (NPI-1)
- Name
- Robert S Von Der Becke
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 18, 2021
- Certification date
- Nov 18, 2021
- Last updated
- Nov 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
136 Main StAurelia, IA 51005-7727
Phone 712-334-0319
Mailing address
136 Main StAurelia, IA 51005-7727
Phone 712-334-0319
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