Innovative Care Network LLC

NPI #1780140798 in Wake Forest, North Carolina

Provider Information

NPI Number
1780140798
Entity Type
Organization
Organization Name
Innovative Care Network LLC
Primary Specialty
Behavior Technician
Enumeration Date
Feb 14, 2019
Last Updated
Jan 17, 2024

Practice Location

Address
120 CAPCOM AVE STE 102C
ZIP Code
27587-6537
Phone
(215) 279-1509

Authorized Official

Name
KIANNA L CHAPMAN
Title
CEO/OWNER
Phone
(215) 279-1509

Specialties & Taxonomy Codes

Specialty
Day Training/Habilitation Specialist
Behavior Analyst
Driver
Community/Behavioral Health
Adult Companion
Behavior Technician

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