Active NPI
Exceptional Kids LLC
- Behavior Analyst
- Coralville, IA
National Provider Identifier
1922580489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- EXCEPTIONAL KIDS LLC
- Practice address
- 1916 Brown Deer Rd
Coralville, IA 52241-1161 - Phone
- (319) 481-3555
- NPI assigned
- Aug 31, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jamaal Young, PH.D.
- Title
- Owner
- Phone
- (319) 481-3555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1916 Brown Deer Rd
Coralville, IA 52241-1161
Mailing address
PO Box 5448
Coralville, IA 52241-0448
Phone (319) 481-3555
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1535673600000",
"number": "1922580489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5448",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522410448",
"telephone_number": "319-481-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1916 BROWN DEER RD",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522411161",
"telephone_number": "319-481-3555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCEPTIONAL KIDS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-31",
"last_updated": "2018-08-31",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "JAMAAL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "319-481-3555",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coralville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.