Provider Demographics
NPI:1811398274
Name:INNOVATIVE BEHAVIORAL SOLUTIONS
Entity Type:Organization
Organization Name:INNOVATIVE BEHAVIORAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR BEHAIVOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:H
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA
Authorized Official - Phone:334-488-9889
Mailing Address - Street 1:18549 COUNTY ROAD 77
Mailing Address - Street 2:
Mailing Address - City:OPP
Mailing Address - State:AL
Mailing Address - Zip Code:36467-4772
Mailing Address - Country:US
Mailing Address - Phone:334-488-9889
Mailing Address - Fax:
Practice Address - Street 1:18549 COUNTY ROAD 77
Practice Address - Street 2:
Practice Address - City:OPP
Practice Address - State:AL
Practice Address - Zip Code:36467-4772
Practice Address - Country:US
Practice Address - Phone:334-488-9889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-04
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty