Integrated Behavioral Technologies Inc | |
1106 N 155th St Ste B Basehor KS 66007-7100 | |
(913) 662-7071 | |
(913) 662-7072 |
Full Name | Integrated Behavioral Technologies Inc |
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Speciality | Psychologist - Cognitive & Behavioral |
Location | 1106 N 155th St Ste B, Basehor, Kansas |
Authorized Official Name and Position | Linda Heitzman Powell (OWNER PRESIDENT) |
Authorized Official Contact | 9134717061 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Integrated Behavioral Technologies Inc 1106 N 155th St Ste B Basehor KS 66007-7100 Ph: (913) 662-7071 | Integrated Behavioral Technologies Inc 1106 N 155th St Ste B Basehor KS 66007-7100 Ph: (913) 662-7071 |
NPI Number | 1770621674 |
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Provider Enumeration Date | 02/02/2007 |
Last Update Date | 06/04/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770621674 | NPI | - | NPPES |
100643520 | Medicaid | KS | |
00118206 | Other | KS | BCBS OF KANSAS |
37446016 | Other | KS | BCBS OF KC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TB0200X | Psychologist - Cognitive & Behavioral | LP1216 (Kansas) | Primary |