Provider Demographics
NPI:1649058041
Name:IN HOME BEHAVIORAL MANAGEMENT SPECIALISTS, LLC
Entity type:Organization
Organization Name:IN HOME BEHAVIORAL MANAGEMENT SPECIALISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:K
Authorized Official - Last Name:BINDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-651-5500
Mailing Address - Street 1:10750 N O CONNELL LN
Mailing Address - Street 2:
Mailing Address - City:MEQUON
Mailing Address - State:WI
Mailing Address - Zip Code:53097-3323
Mailing Address - Country:US
Mailing Address - Phone:414-651-5500
Mailing Address - Fax:
Practice Address - Street 1:10750 N O CONNELL LN
Practice Address - Street 2:
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53097-3323
Practice Address - Country:US
Practice Address - Phone:414-651-5500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)