Provider Demographics
NPI:1396532917
Name:FEHR, DYLAN CHRISTOPHER (RBT)
Entity type:Individual
Prefix:
First Name:DYLAN
Middle Name:CHRISTOPHER
Last Name:FEHR
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 BOSTON AVE
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50703-2080
Mailing Address - Country:US
Mailing Address - Phone:319-404-5709
Mailing Address - Fax:
Practice Address - Street 1:815 TOWER PARK DR
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50701-9027
Practice Address - Country:US
Practice Address - Phone:319-242-7642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IARBT-25-425126106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician