| Innovative Behavior Options | |
|
1365 Lyndhurst Way Roswell GA 30075-2584 | |
| (770) 992-8534 | |
| Not Available |
| Full Name | Innovative Behavior Options |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1365 Lyndhurst Way, Roswell, Georgia |
| Authorized Official Name and Position | Robin Dawn Stone (OWNER AND BEHAVIOR ANALYST) |
| Authorized Official Contact | 7709928534 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Behavior Options 1365 Lyndhurst Way Roswell GA 30075-2584 Ph: (770) 992-8534 | Innovative Behavior Options 1365 Lyndhurst Way Roswell GA 30075-2584 Ph: (770) 992-8534 |
| NPI Number | 1053559971 |
|---|---|
| Provider Enumeration Date | 01/30/2009 |
| Last Update Date | 05/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053559971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1052566 (Georgia) | Primary |
| 251S00000X | Community/behavioral Health | 1-05-2566 (Georgia) | Secondary |
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