| Creative Behavioral Services, Llc | |
|
600 16th St E Jasper AL 35501-4809 | |
| (205) 522-1481 | |
| Not Available |
| Full Name | Creative Behavioral Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 600 16th St E, Jasper, Alabama |
| Authorized Official Name and Position | Holly Patrick (DIRECTOR) |
| Authorized Official Contact | 2055221481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Behavioral Services, Llc 600 16th St E Jasper AL 35501-4809 Ph: (205) 522-1481 | Creative Behavioral Services, Llc 600 16th St E Jasper AL 35501-4809 Ph: (205) 522-1481 |
| NPI Number | 1245744192 |
|---|---|
| Provider Enumeration Date | 11/29/2017 |
| Last Update Date | 12/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245744192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-17-25312 (Alabama) | Primary |
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