| Behavioral Kinetics | |
|
125 Townpark Dr Nw Ste 300 Kennesaw GA 30144-3231 | |
| (470) 295-5682 | |
| (888) 791-6710 |
| Full Name | Behavioral Kinetics |
|---|---|
| Speciality | Counselor - Professional |
| Location | 125 Townpark Dr Nw Ste 300, Kennesaw, Georgia |
| Authorized Official Name and Position | Robert Favre (ADMIN) |
| Authorized Official Contact | 7703769999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Kinetics 905 Rocky Ridge Pass Canton GA 30114-9751 Ph: (770) 376-9999 | Behavioral Kinetics 125 Townpark Dr Nw Ste 300 Kennesaw GA 30144-3231 Ph: (470) 295-5682 |
| NPI Number | 1730936840 |
|---|---|
| Provider Enumeration Date | 05/06/2024 |
| Last Update Date | 05/06/2024 |
| Certification Date | 04/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730936840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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