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Organization
CREATIVE BEHAVIOR CONSULTING
Active
Organization
CREATIVE BEHAVIOR CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA S. KOVITCH MA, BCBA, LPC (DIRECTOR)
(570) 982-9436
Entity
Organization
Contact information
Practice address
6212 NORTHLAKE CIRCLE NE, ATLANTA, GA 30345
(570) 982-9436
(678) 669-2632
Mailing address
6212 NORTHLAKE CIRCLE NE, ATLANTA, GA 30345
(570) 982-9436
(678) 669-2632
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC 007330
GA
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/22/2014
Last updated
12/26/2014
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