Eugene Nduru, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-38801 Issued in SD

Practice address

745 10TH St Ste C
Rock Valley, IA 51247-1511

Phone

(605) 271-2690

Fax

(605) 271-3956

NPI assigned

Feb 22, 2019

Last updated

Dec 23, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1447717723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 E 26TH ST STE 1",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571034019",
            "telephone_number": "605-271-2690",
            "fax_number": "605-271-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 10TH ST STE C",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512471511",
            "telephone_number": "605-271-2690",
            "fax_number": "605-271-3956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 N Lawler St",
            "address_purpose": "LOCATION",
            "city": "Mitchell",
            "state": "SD",
            "postal_code": "573012639",
            "country_code": "US",
            "telephone_number": "605-271-2690",
            "fax_number": "605-271-3956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NDURU",
        "first_name": "EUGENE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "SD",
            "license": "1-19-38801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Mangold, M.A
• Margaret Martens, LMHC
• Nicolette Menke
• April Metzger
• Coreen Lynn Montag, D.C.
• Douglas E. Nielsen, D.C.
• Elissa Ann O'Dell, TLMHC
• Pembers Drug Inc (Pembers Drug)
• Donna Reit, LMHC
• Rise ABA LLC

• Behavior Analyst in Rock Valley, IA
• Providers in Rock Valley, IA by specialty
• Behavior Analyst in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.