Organization
CREATIVE PIECES BEHAVIOR ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH BORNEMISS M.ED., BCBA (BEHAVIOR ANALYST, OWNER)
(770) 508-5187
Entity
Organization
Contact information
Practice address
2295 TOWNE LAKE PKWY, SUITE-116-158, WOODSTOCK, GA 30189-5520
(770) 508-5187
(180) 088-3926
Mailing address
2295 TOWNE LAKE PKWY, SUITE-116-158, WOODSTOCK, GA 30189-5520
(770) 508-5187
(180) 088-3926
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-10126
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962835579
NPI
GA
Enumeration date
11/13/2013
Last updated
06/10/2016
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