Most Relevant Information
Provider Data
| NPI Number: | 1003527474 |
| Provider Name: | TAYLOR WIEDMEIER |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/07/2022 |
| Last Updated: | 12/07/2022 |
Provider Practice Location
220 W 1ST ST STE 100
ANKENY
IA
500231751
Practice Location Phone/Fax
| Phone: | 5155057283 |
| Fax: |
Provider Mailing Location
220 W 1ST ST STE 100
ANKENY
IA
500231751
Provider Mailing Phone/Fax
| Phone: | 5152612402 |
| Fax: |