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NPI Code Detail

MEDICARE: KANDICE DIRCKS

MEDICARE: KANDICE DIRCKS
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1396671434
Entity Type Code : Individual
Provider Name (Legal Business Name) : KANDICE DIRCKS
Provider Business Mailing Address
First Line : 4406 114TH ST
Second Line :
City : URBANDALE
State : IA
Zip : 50322-5409
Country : US
Telephone Number : 515-509-6892
Fax Number :
Provider Business Practice Location Address
First Line : 4406 114TH ST
Second Line :
City : URBANDALE
State : IA
Zip : 50322-5409
Country : US
Telephone Number : 515-509-6892
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2026
Last Update Date : 06/18/2026

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Directions to “ KANDICE DIRCKS ” Practice Location

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