Organization
INDIVIDUALIZED BEHAVIOR SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M. MILLER (CEO)
(913) 522-4775
Entity
Organization
Contact information
Practice address
6675 NW MEYERS CIR, PARKVILLE, MO 64152-5220
(913) 522-4775
Mailing address
PO BOX 901863, KANSAS CITY, MO 64190-1863
(913) 522-4775
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2010042683
MO
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
856271408
—
MO
Enumeration date
12/11/2007
Last updated
02/02/2011
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