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BALANCE AUTSIM NPI 1720204191


NPI Information

NPI: 1720204191
Provider Name: BALANCE AUTSIM

Doing Business As: THE HOMESTEAD AUTISM SERVICES

Classification: Behavior Technician - 106S00000X
Entity Type: Organization
Address:
1625 ADVENTURELAND DR STE B
ALTOONA, IA
ZIP 50009
Phone: (515) 957-3342
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BALANCE AUTSIM is a behavior technician in Altoona, IA. The provider is the behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. BALANCE AUTSIM NPI is 1720204191. The provider is registered as an organization entity type.
The provider Is Doing Business As The Homestead Autism Services.

The provider's business location address is:

1625 ADVENTURELAND DR STE B
ALTOONA, IA
ZIP 50009-237
Phone: (515) 957-3342
Fax: (515) 957-3380

The provider's authorized official is Luann Markley .
The authorized official title is Director Of Operations and has the following contact phone number (515) 957-3342.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 9/26/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled ServicesNo
2106S00000XBehavior TechnicianYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10746768MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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