| Creative Innovations Collaboration And Consulting Pllc | |
|
1244 Ivystone Way Apt 100 Chesapeake VA 23320-7679 | |
| (757) 403-7732 | |
| Not Available |
| Full Name | Creative Innovations Collaboration And Consulting Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1244 Ivystone Way Apt 100, Chesapeake, Virginia |
| Authorized Official Name and Position | Gina L Senan (OWNER) |
| Authorized Official Contact | 7574037732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Innovations Collaboration And Consulting Pllc 1244 Ivystone Way Apt 100 Chesapeake VA 23320-7679 Ph: (757) 403-7732 | Creative Innovations Collaboration And Consulting Pllc 1244 Ivystone Way Apt 100 Chesapeake VA 23320-7679 Ph: (757) 403-7732 |
| NPI Number | 1033808340 |
|---|---|
| Provider Enumeration Date | 05/02/2023 |
| Last Update Date | 05/02/2023 |
| Certification Date | 05/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033808340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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