| Creative Behavior Consulting | |
|
6212 Northlake Circle Ne Atlanta GA 30345 | |
| (570) 982-9436 | |
| (678) 669-2632 |
| Full Name | Creative Behavior Consulting |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6212 Northlake Circle Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Lisa S. Kovitch (DIRECTOR) |
| Authorized Official Contact | 5709829436 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Behavior Consulting 6212 Northlake Circle Ne Atlanta GA 30345 Ph: (570) 982-9436 | Creative Behavior Consulting 6212 Northlake Circle Ne Atlanta GA 30345 Ph: (570) 982-9436 |
| NPI Number | 1366862930 |
|---|---|
| Provider Enumeration Date | 04/22/2014 |
| Last Update Date | 12/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366862930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC 007330 (Georgia) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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