Organization
INNOVATIVE BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA PIATT PHD (OWNER)
(617) 259-1895
Entity
Organization
Contact information
Practice address
160 COMMONWEALTH AVE, SUITE U3-A, BOSTON, MA 02116-2707
(617) 259-1895
(617) 259-1899
Mailing address
160 COMMONWEALTH AVE, SUITE U3-A, BOSTON, MA 02116-2707
(617) 259-1895
(617) 259-1899
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TH0004X
Health Psychologist
—
—
133V00000X
Registered Dietitian
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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