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NPI Code Detail

MEDICARE: MRS. MADELYNN HARMAN MS, BCBA

MEDICARE: MRS. MADELYNN HARMAN MS, BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst195-140IA

General Provider Information

NPI Number : 1528462538
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MADELYNN HARMAN MS, BCBA
Provider Business Mailing Address
First Line : 3032 ANSBOROUGH AVE STE A
Second Line :
City : WATERLOO
State : IA
Zip : 50701-4422
Country : US
Telephone Number : 319-403-8505
Fax Number :
Provider Business Practice Location Address
First Line : 3032 ANSBOROUGH AVE STE A
Second Line :
City : WATERLOO
State : IA
Zip : 50701-4422
Country : US
Telephone Number : 319-403-8505
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2014
Last Update Date : 09/15/2025

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