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INNOVATIVE BEHAVIORAL SOLUTIONS LLC NPI 1689928343


NPI Information

NPI: 1689928343
Provider Name: INNOVATIVE BEHAVIORAL SOLUTIONS, LLC
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
405 E OAKWOOD BLVD APT 4J
CHICAGO, IL
ZIP 60653
Phone: (601) 946-3086
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INNOVATIVE BEHAVIORAL SOLUTIONS, LLC is an adolescent and children mental health clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. INNOVATIVE BEHAVIORAL SOLUTIONS, LLC NPI is 1689928343. The provider is registered as an organization entity type.

The provider's business location address is:

405 E OAKWOOD BLVD APT 4J
CHICAGO, IL
ZIP 60653-963
Phone: (601) 946-3086

The provider's authorized official is Brooke Owens .
The authorized official title is Board Certified Behavior Analyst and has the following contact phone number (601) 946-3086.

The enumeration date for this NPI number is 11/2/2012 and was last updated on 11/2/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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