Collaborative Behavior Solutions, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COLLABORATIVE BEHAVIOR SOLUTIONS, LLC

Practice address

2201 N Government Way
Suite B
Coeur D Alene, ID 83814-3658

Phone

(208) 659-5517

Fax

(800) 692-4150

NPI assigned

Oct 28, 2016

Last updated

Nov 2, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Eileen Queen, M.ED., BCBANPI 1548509649

Title

Clinical Director

Phone

(208) 659-5517

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Eileen Queen, M.ED. BCBA

  • Behavior Analyst
  • Coeur d'Alene, ID
  • NPI 1548509649
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1205388907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 N GOVERNMENT WAY STE B",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143658",
            "telephone_number": "208-659-5517",
            "fax_number": "800-692-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 N GOVERNMENT WAY",
            "address_2": "SUITE B",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143658",
            "telephone_number": "208-659-5517",
            "fax_number": "800-692-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE BEHAVIOR SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-28",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "QUEEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "208-659-5517",
        "authorized_official_credential": "M.ED., BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Colberg, LCSW
• Dana L Colbert, D.O.
• Cassandra Coleman-Heppler, LICSW
• Cassey Coleman, CPSS, CFSP
• Tiffany Coleman, MOTR/L
• Comfort Keepers
• Comfort Keepers
• Community Connections North, Inc.
• Compass Community Services
• Compass Family Practice

• Community/Behavioral Health Agency in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.