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Jill Yvonne Bloss, BCBA

Behavior Analyst in Clive, IA. Individual provider (NPI-1).

NPI number1417464751
StatusActive
Last updated in NPPESJan 9, 2018

Details

NPI
1417464751
Entity type
Individual (NPI-1)
Name
Jill Yvonne Bloss
Credential
BCBA
Sex
Female
Sole proprietor
No
Enumeration date
Jan 9, 2018
Last updated
Jan 9, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes

Practice location

1860 Nw 118th St Ste 100
Clive, IA 50325-8278

Phone 515-402-4130 · Fax 515-957-3380

Mailing address

3105 Ep True Pkwy Apt 516
West Des Moines, IA 50265-5655

Phone 515-321-1283

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