Healthcare Provider Details

I. General information

NPI: 1336785922
Provider Name (Legal Business Name): BEHAVIOR SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2019
Last Update Date: 01/02/2024
Certification Date: 01/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

971 E WICHITA AVE
RUSSELL KS
67665-2444
US

IV. Provider business mailing address

971 E WICHITA AVE
RUSSELL KS
67665-2444
US

V. Phone/Fax

Practice location:
  • Phone: 785-657-7464
  • Fax: 785-445-4042
Mailing address:
  • Phone: 785-657-7464
  • Fax: 785-445-4042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: HOLLY CREAMER
Title or Position: MEMBER
Credential: BCBA, LBA
Phone: 785-657-7464