Organization
INNOVATIVE BEHAVIOR OPTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN STONE (BCBA)
(770) 992-8534
Entity
Organization
Contact information
Practice address
4617 PATRICK DR NE, ROSWELL, KENNESAW, GA 30144-1640
(404) 907-5821
Mailing address
4617 PATRICK DR NE, KENNESAW, GA 30144-1640
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103K00000X
BEHAVIOR ANALYSIS
GA
Enumeration date
02/01/2015
Last updated
02/01/2015
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