Provider Demographics
NPI:1255500161
Name:BEHAVIORAL INNOVATIONS, LLC
Entity Type:Organization
Organization Name:BEHAVIORAL INNOVATIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHENOWETH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-210-6434
Mailing Address - Street 1:PO BOX 7040
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64113-0040
Mailing Address - Country:US
Mailing Address - Phone:913-648-2600
Mailing Address - Fax:
Practice Address - Street 1:1206 ROMANY RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64113-2017
Practice Address - Country:US
Practice Address - Phone:913-648-2600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-25
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health