| Behavior Dad, Llc | |
| 
					3509 W Moark Battlefield MO 65619-9616  | |
| (417) 496-4153 | |
| Not Available | 
| Full Name | Behavior Dad, Llc | 
|---|---|
| Speciality | Clinic/center | 
| Location | 3509 W Moark, Battlefield, Missouri | 
| Authorized Official Name and Position | Michael Harris (EDUCATIONAL CONSULTANT) | 
| Authorized Official Contact | 4174964153 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Behavior Dad, Llc 3509 W Moark Battlefield MO 65619-9616 Ph: (417) 496-4153  | Behavior Dad, Llc 3509 W Moark Battlefield MO 65619-9616 Ph: (417) 496-4153  | 
| NPI Number | 1982219945 | 
|---|---|
| Provider Enumeration Date | 09/15/2020 | 
| Last Update Date | 09/15/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1982219945 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary | 
Hines Street Pharmacy 2 Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4062 W Republic Rd, Battlefield, MO 65619 Phone: 417-735-0055  |