| Integrated Behavioral Technologies Inc | |
|
1106 N 155th St Ste B Basehor KS 66007-7100 | |
| (913) 662-7071 | |
| (913) 662-7072 |
| Full Name | Integrated Behavioral Technologies Inc |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 1106 N 155th St Ste B, Basehor, Kansas |
| Authorized Official Name and Position | Linda Heitzman Powell (OWNER PRESIDENT) |
| Authorized Official Contact | 9134717061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Behavioral Technologies Inc 1106 N 155th St Ste B Basehor KS 66007-7100 Ph: (913) 662-7071 | Integrated Behavioral Technologies Inc 1106 N 155th St Ste B Basehor KS 66007-7100 Ph: (913) 662-7071 |
| NPI Number | 1770621674 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 06/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770621674 | NPI | - | NPPES |
| 100643520 | Medicaid | KS | |
| 00118206 | Other | KS | BCBS OF KANSAS |
| 37446016 | Other | KS | BCBS OF KC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | LP1216 (Kansas) | Primary |