Addie Grogan

NPI #1245011642 in Ankeny, Iowa

Provider Information

NPI Number: 1245011642
Entity Type: Individual
Name: Addie Grogan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 11, 2023
Last Updated: Oct 11, 2023

Practice Location

Address: 220 W 1ST ST STE 100
City: Ankeny
State: Iowa
ZIP Code: 50023-1751
Phone: (515) 238-3850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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