| Innovative Behavior Options | |
|
4617 Patrick Dr Ne Roswell Kennesaw GA 30144-1640 | |
| (404) 907-5821 | |
| Not Available |
| Full Name | Innovative Behavior Options |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4617 Patrick Dr Ne, Kennesaw, Georgia |
| Authorized Official Name and Position | Robin Stone (BCBA) |
| Authorized Official Contact | 7709928534 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Behavior Options 4617 Patrick Dr Ne Kennesaw GA 30144-1640 | Innovative Behavior Options 4617 Patrick Dr Ne Roswell Kennesaw GA 30144-1640 Ph: (404) 907-5821 |
| NPI Number | 1144610965 |
|---|---|
| Provider Enumeration Date | 02/01/2015 |
| Last Update Date | 02/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144610965 | NPI | - | NPPES |
| 103K00000X | Other | GA | BEHAVIOR ANALYSIS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | () | Primary |
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