Rene Mugisha Mushishi

Individual provider Active NPI Behavior Technician · West Des Moines, IA

NPI 1467259705 · NPPES record last updated Feb 25, 2025

Key facts

NPI
1467259705
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
8602 Westown Pkwy Apt 2601
West Des Moines, IA 50266-1597
Phone
(817) 302-6350
NPI assigned
Feb 25, 2025
Sex
Male
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
Care With Hadassah LLC Current
since Mar 11, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

8602 Westown Pkwy Apt 2601
West Des Moines, IA 50266-1597

Mailing address

8602 Westown Pkwy Apt 2601
West Des Moines, IA 50266-1597
Phone (817) 302-6350

Other providers in West Des Moines, IA

All providers in West Des Moines, IA · Behavior Technician in Iowa

Sources for this page

Verify at the official NPI Registry.