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Organization

CREATIVE BEHAVIOR CONSULTING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA S. KOVITCH MA, BCBA, LPC (DIRECTOR)
(570) 982-9436
Entity
Organization

Contact information

Practice address
6212 NORTHLAKE CIRCLE NE, ATLANTA, GA 30345
(570) 982-9436
(678) 669-2632
Mailing address
6212 NORTHLAKE CIRCLE NE, ATLANTA, GA 30345
(570) 982-9436
(678) 669-2632

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC 007330
GA
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
04/22/2014
Last updated
12/26/2014
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