Organization
IFLOURISH BEHAVIOR SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS CRAWFORD BCBA (BCBA/CEO)
(470) 955-0602
Entity
Organization
Contact information
Practice address
2754 LAUREL VALLEY TRL, BUFORD, GA 30519-8137
(470) 955-0602
Mailing address
2754 LAUREL VALLEY TRL, BUFORD, GA 30519-8137
(470) 955-0602
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
07/12/2024
Last updated
07/16/2024
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