Robert S Von Der Becke
Individual provider Active NPI Behavior Technician · Aurelia, IA
NPI 1194482794 · NPPES record last updated Nov 18, 2021
Key facts
- NPI
- 1194482794
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 136 Main St
Aurelia, IA 51005-7727 - Phone
- (712) 334-0319
- NPI assigned
- Nov 18, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Von Der Becke Academy Corp | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
136 Main St
Aurelia, IA 51005-7727
Mailing address
136 Main St
Aurelia, IA 51005-7727
Phone (712) 334-0319
Other providers in Aurelia, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.