Organization
BEHAVIORAL KINETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT FAVRE (ADMIN)
(770) 376-9999
Entity
Organization
Contact information
Practice address
125 TOWNPARK DR NW STE 300, KENNESAW, GA 30144-3231
(470) 295-5682
(888) 791-6710
Mailing address
905 ROCKY RIDGE PASS, CANTON, GA 30114-9751
(770) 376-9999
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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