OrganizationActive
Developmental Wellness
NPI 1063971166 · Behavior Analyst · Pella, IA
Provider details
- NPI number
- 1063971166
- Entity type
- Organization
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kyle Cervone, Owner/Chief Clinical Officer(515) 664-3422
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Practice location
910 Washington St
Pella, IA 50219-1504
Phone: (515) 664-3244
Fax: (844) 519-7713
Approximate (ZIP-level) locationGet directions
Mailing address
4912 Walker Cir
Johnston, IA 50131-2535
Registry dates
- Enumerated
- 2019-03-18
- Last updated
- 2023-08-07
- Certified
- 2023-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.