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NPI Code Detail

MEDICARE: BEHAVIORAL INNOVATIONS, LLC

MEDICARE: BEHAVIORAL INNOVATIONS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health AgencyMO

General Provider Information

NPI Number : 1255500161
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEHAVIORAL INNOVATIONS, LLC
Provider Business Mailing Address
First Line : PO BOX 7040
Second Line :
City : KANSAS CITY
State : MO
Zip : 64113-0040
Country : US
Telephone Number : 913-648-2600
Fax Number :
Provider Business Practice Location Address
First Line : 1206 ROMANY RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64113-2017
Country : US
Telephone Number : 913-648-2600
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DONNA CHENOWETH
Credential :
Telephone Number : 816-210-6434
Provider Enumeration Date : 02/25/2008
Last Update Date : 02/25/2008

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Directions to “BEHAVIORAL INNOVATIONS, LLC ” Practice Location

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