Organization
INNOVATIVE BEHAVIORAL SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE OWENS (BOARD CERTIFIED BEHAVIOR ANALYST)
(601) 946-3086
Entity
Organization
Contact information
Practice address
405 E OAKWOOD BLVD APT 4J, CHICAGO, IL 60653-1963
(601) 946-3086
Mailing address
405 E OAKWOOD BLVD APT 4J, CHICAGO, IL 60653-1963
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2012
Last updated
11/02/2012
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