Provider Demographics
NPI:1316744378
Name:ARP, AVERY (RBT)
Entity type:Individual
Prefix:
First Name:AVERY
Middle Name:
Last Name:ARP
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:699 WALNUT ST STE 4
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-3949
Mailing Address - Country:US
Mailing Address - Phone:515-514-1600
Mailing Address - Fax:
Practice Address - Street 1:699 WALNUT ST STE 4
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-3949
Practice Address - Country:US
Practice Address - Phone:515-514-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician