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NPI Code Detail

MEDICARE: INQUIRING MINDS - BEHAVIORAL AND DEVELOPMENTAL SERVICES, LLC

MEDICARE: INQUIRING MINDS - BEHAVIORAL AND DEVELOPMENTAL SERVICES, 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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1770017311
Entity Type Code : Organization
Provider Name (Legal Business Name) : INQUIRING MINDS - BEHAVIORAL AND DEVELOPMENTAL SERVICES, LLC
Provider Business Mailing Address
First Line : 4769 WHITESBURG DR SE STE 202
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35802-1684
Country : US
Telephone Number : 256-666-0477
Fax Number : 256-666-0465
Provider Business Practice Location Address
First Line : 4769 WHITESBURG DR SE STE 202
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35802-1684
Country : US
Telephone Number : 256-666-0477
Fax Number : 256-666-0465
Authorized Official
Title or Position : BEHAVIOR ANALYST
Name : JACOB DOSS
Credential :
Telephone Number : 256-666-0477
Provider Enumeration Date : 04/19/2017
Last Update Date : 05/04/2020

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