Organization
KEEPING IT SPECIALLY SIMPLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY BORAK BCBA (CEO)
(404) 932-4140
Entity
Organization
Contact information
Practice address
25 POINTE RIDGE DR, SANDY SPRINGS, GA 30328-2755
(404) 932-4140
(888) 838-8656
Mailing address
25 POINTE RIDGE DR, SANDY SPRINGS, GA 30328-2755
(404) 932-4140
(865) 688-8838
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
1-16-21587
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144567512
NPI
—
Enumeration date
11/09/2016
Last updated
05/02/2025
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