Provider Demographics
NPI:1962384073
Name:HAAK, AUSTIN (MED, BCBA)
Entity type:Individual
Prefix:
First Name:AUSTIN
Middle Name:
Last Name:HAAK
Suffix:
Gender:M
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1524 14TH ST
Mailing Address - Street 2:
Mailing Address - City:ROCK VALLEY
Mailing Address - State:IA
Mailing Address - Zip Code:51247-1246
Mailing Address - Country:US
Mailing Address - Phone:712-470-8211
Mailing Address - Fax:
Practice Address - Street 1:1524 14TH ST
Practice Address - Street 2:
Practice Address - City:ROCK VALLEY
Practice Address - State:IA
Practice Address - Zip Code:51247-1246
Practice Address - Country:US
Practice Address - Phone:712-470-8211
Practice Address - Fax:855-574-0818
Is Sole Proprietor?:No
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IABA-01289103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst