Organization
INNOVATION BEHAVIOR SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAUREEN FOSS BCBA (CEO/CLINICIAN)
(302) 244-3404
Entity
Organization
Contact information
Practice address
1474 E LEBANON RD, DOVER, DE 19901-5833
(302) 244-3404
(855) 596-2438
Mailing address
39 BANGOR ST, HOULTON, ME 04730-1711
(302) 244-3404
(855) 596-2438
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2015606572
DE
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144653981
NPI
—
01
—
12672941
CAQH
—
01
—
1295235448
NPI
—
01
—
136117681
CAQH
—
01
—
14002656
CAQH
—
01
—
14217958
CAQH
—
01
—
1639596174
NPI
—
01
—
1962937540
NPI
—
Enumeration date
10/08/2015
Last updated
04/30/2021
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