Provider Demographics
NPI:1649462730
Name:BEHAVIORAL INTERVENTION SOLUTIONS LLC
Entity type:Organization
Organization Name:BEHAVIORAL INTERVENTION SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER MANAGER CONSULTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTY
Authorized Official - Middle Name:BROOKE
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:417-234-3455
Mailing Address - Street 1:825 E STANFORD ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65807-2051
Mailing Address - Country:US
Mailing Address - Phone:417-234-3455
Mailing Address - Fax:
Practice Address - Street 1:825 E STANFORD ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-2051
Practice Address - Country:US
Practice Address - Phone:417-234-3455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-13
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health