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General NPI Number Information
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NPI Number | 1861059412
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Entity Type | Organization
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Legal Business Name | PEAK EDUCATIONAL CENTER
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Dates
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Enumeration Date | 05/20/2019
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Last Update Date | 05/26/2022
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Provider Practice Location Address
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Address Line | 2825 S ANKENY BLVD STE 111
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City | ANKENY
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State | IA
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Zip | 50023-9417
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Country | US
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Telephone | 515-598-7200
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Fax | 515-598-7323
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Provider Business Mailing Address
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Address Line | 2825 S ANKENY BLVD STE 111
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City | ANKENY
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State | IA
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Zip | 50023-9417
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Country | US
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Telephone | 515-598-7200
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. AUTUMN N MCKEEL
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Credential | PH. D., BCBA-D
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Telephone | 515-598-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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