Organization
CREATIVE INNOVATIONS COLLABORATION AND CONSULTING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA L SENAN BCBA (OWNER)
(757) 403-7732
Entity
Organization
Contact information
Practice address
1244 IVYSTONE WAY APT 100, CHESAPEAKE, VA 23320-7679
(757) 403-7732
Mailing address
1244 IVYSTONE WAY APT 100, CHESAPEAKE, VA 23320-7679
(757) 403-7732
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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