| Innovation Behavior Services, Llc | |
|
1474 E Lebanon Rd Dover DE 19901-5833 | |
| (302) 244-3404 | |
| (855) 596-2438 |
| Full Name | Innovation Behavior Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1474 E Lebanon Rd, Dover, Delaware |
| Authorized Official Name and Position | Maureen Foss (CEO/CLINICIAN) |
| Authorized Official Contact | 3022443404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovation Behavior Services, Llc 39 Bangor St Houlton ME 04730-1711 Ph: (302) 244-3404 | Innovation Behavior Services, Llc 1474 E Lebanon Rd Dover DE 19901-5833 Ph: (302) 244-3404 |
| NPI Number | 1205207800 |
|---|---|
| Provider Enumeration Date | 10/08/2015 |
| Last Update Date | 04/30/2021 |
| Certification Date | 04/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205207800 | NPI | - | NPPES |
| 12672941 | Other | CAQH | |
| 1639596174 | Other | NPI | |
| 1295235448 | Other | NPI | |
| 14217958 | Other | CAQH | |
| 14002656 | Other | CAQH | |
| 136117681 | Other | CAQH | |
| 1144653981 | Other | NPI | |
| 1962937540 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2015606572 (Delaware) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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