Organization
INTEGRATED BEHAVIORAL TECHNOLOGIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA HEITZMAN POWELL (OWNER PRESIDENT)
(913) 471-7061
Entity
Organization
Contact information
Practice address
1106 N 155TH ST STE B, BASEHOR, KS 66007-7100
(913) 662-7071
(913) 662-7072
Mailing address
1106 N 155TH ST STE B, BASEHOR, KS 66007-7100
(913) 662-7071
(913) 662-7072
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
LP1216
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00118206
BCBS OF KANSAS
KS
05
—
100643520
—
KS
01
—
37446016
BCBS OF KC
KS
Enumeration date
02/02/2007
Last updated
06/04/2013
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