Organization
CREATIVE BEHAVIORAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY PATRICK MA, BCBA (DIRECTOR)
(205) 522-1481
Entity
Organization
Contact information
Practice address
600 16TH ST E, JASPER, AL 35501-4809
(205) 522-1481
Mailing address
600 16TH ST E, JASPER, AL 35501-4809
(205) 522-1481
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25312
AL
Other
Enumeration date
11/29/2017
Last updated
12/01/2017
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