Kids Creek Therapy in Suwanee - Assistant Behavior Analyst
Kids Creek Therapy - NPI 1700983772
Kids Creek Therapy is a Assistant Behavior Analyst in Suwanee, Georgia. Kids Creek Therapy practices all healthcare services and medical treatments related to Assistant Behavior Analyst. The NPI Number for Kids Creek Therapy is 1700983772. The last update date is 2023-10-02.
Kids Creek Therapy's current location address is 4055 Johns Creek Pkwy Ste A, Suwanee, Georgia. You can contact this provider via phone number 7708885221 and fax number 6786805929. The mailing address for Kids Creek Therapy is 4055 Johns Creek Pkwy Ste A, Suwanee, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kids Creek Therapy |
|---|---|
| Address | 4055 Johns Creek Pkwy Ste A, Suwanee, Georgia |
| Phone Number | 7708885221 |
| Fax Number | 6786805929 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMIN DIRE |
|---|---|
| Authorized Official Name | Darius Myrlaine |
| Telephone Number | 7708885221 |
NPI Number Detail
| NPI Number | 1700983772 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2023-10-02 |
Provider Mailing Address Detail
| Address | 4055 Johns Creek Pkwy Ste A |
|---|---|
| City | Suwanee |
| State | Georgia (GA) |
| Post Code | 300241299 |
| Phone Number | 7708885221 |
| Fax Number | 6786805929 |
Provider's Primary Taxonomy Detail
| Speciality | Assistant Behavior Analyst |
|---|---|
| Taxonomy | 106E00000X |
|
Definition: An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior |
|
Post Comment/ Review Below
What is the Kids Creek Therapy's 1700983772?
The Kids Creek Therapy's NPI (National Provider Identifier) Number is 1700983772. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kids Creek Therapy?
The Kids Creek Therapy is physically situated at 4055 Johns Creek Pkwy Ste A, in the city of Suwanee, state of GA, with the postal code 300241299.
What is the Kids Creek Therapy's specialty and taxonomy code?
The Kids Creek Therapy's specialty is Assistant Behavior Analyst, and the corresponding taxonomy code is 106E00000X.
What is the area of specialization for Kids Creek Therapy, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kids Creek Therapy is Assistant Behavior Analyst, and the corresponding taxonomy code that categorizes this area of expertise is 106E00000X.
When was the information pertaining to Kids Creek Therapy most recently updated or revised?
The details related to Kids Creek Therapy, including its address, specialty, and other relevant information, were last updated or revised on 2023-10-02.