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NPI Code Detail

MEDICARE: BEHAVIORAL INTERVENTION INSTITUTE OF OHIO

MEDICARE: BEHAVIORAL INTERVENTION INSTITUTE OF OHIO
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
1251B00000XCase Management Agency
2251C00000XDevelopmentally Disabled Services Day Training Agency
3252Y00000XEarly Intervention Provider Agency
4251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1477868909
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEHAVIORAL INTERVENTION INSTITUTE OF OHIO
Provider Business Mailing Address
First Line : 24865 DETROIT RD
Second Line :
City : WESTLAKE
State : OH
Zip : 44145-2512
Country : US
Telephone Number : 866-965-2446
Fax Number :
Provider Business Practice Location Address
First Line : 24865 DETROIT RD
Second Line :
City : WESTLAKE
State : OH
Zip : 44145-2512
Country : US
Telephone Number : 866-965-2446
Fax Number :
Authorized Official
Title or Position : CEO
Name : MS. KRISTEN L. WILCOCK
Credential :
Telephone Number : 614-557-9557
Provider Enumeration Date : 08/09/2010
Last Update Date : 03/21/2012

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Directions to “BEHAVIORAL INTERVENTION INSTITUTE OF OHIO ” Practice Location

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