Josie Dierks, BCBA

Individual provider Active NPI Behavior Analyst · Mitchell, SD

NPI 1346911690 · NPPES record last updated Sep 5, 2024

Key facts

NPI
1346911690
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
1307 N Main St Ste a
Mitchell, SD 57301-1380
Phone
(605) 759-3126
NPI assigned
Sep 27, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Solutions, LLC Behavior Analyst Current
since Sep 8, 2024
Accepting new patients

Locations

1307 N Main St
Ste A
Mitchell, SD 57301
Phone (605) 759-3126

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

1307 N Main St Ste a
Mitchell, SD 57301-1380

Mailing address

1307 N Main St Ste a
Mitchell, SD 57301-1380

Other providers in Mitchell, SD

All providers in Mitchell, SD · Behavior Analyst in South Dakota

Sources for this page

Verify at the official NPI Registry.