Karissa Beutel
Individual provider Active NPI Assistant Behavior Analyst · North Liberty, IA
NPI 1205588282 · NPPES record last updated Feb 24, 2025
Key facts
- NPI
- 1205588282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Assistant Behavior Analyst 106E00000X
- License
- ABA-01002 (IA)
- Practice address
- 3 Lions Dr
North Liberty, IA 52317-9575 - Phone
- (574) 607-4511
- NPI assigned
- Jan 21, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ABA-01002 | IA | MD | Assistant Behavior Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Assistant Behavior Analyst | 106E00000X | ABA-01002 | IA | Yes |
Addresses
Primary practice location
3 Lions Dr
North Liberty, IA 52317-9575
Mailing address
3 Lions Dr
North Liberty, IA 52317-9575
Other providers in North Liberty, IA
- Miranda Mae Becker
- Jill Marie Beecher
- Believe Physical Therapy & Performance LLC
- Haley Jean Bell
- Kathryn Benson
- Mark Biangmano
- Jennifer R. Bigalke
- Raelee Lynn Bird
- Blueprint Pediatric Therapy, PLC
- Eric Bockelman
All providers in North Liberty, IA · Assistant Behavior Analyst in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2025. 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.