| Live Oak Behavioral Services, Llc | |
|
1135 Waltons Pass Evans GA 30809-8250 | |
| (706) 755-2785 | |
| (206) 755-2783 |
| Full Name | Live Oak Behavioral Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1135 Waltons Pass, Evans, Georgia |
| Authorized Official Name and Position | Christine Elizabeth Robison (MEMBER) |
| Authorized Official Contact | 7067552785 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Oak Behavioral Services, Llc Po Box 1997 Evans GA 30809-1997 Ph: (706) 755-2785 | Live Oak Behavioral Services, Llc 1135 Waltons Pass Evans GA 30809-8250 Ph: (706) 755-2785 |
| NPI Number | 1477040244 |
|---|---|
| Provider Enumeration Date | 04/17/2018 |
| Last Update Date | 04/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477040244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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