Creekside Autism Center

LBN: Creekside Autism Center
Creekside Autism Center is an health care organization with primary practice located at 4035 Johns Creek Pkwy Ste B , Suwanee GA 30024-1213. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavioral Analyst is the primary health care specialty. Creekside Autism Center can be contacted via phone (770) 888-5221, or through Darius, Myrlaine via phone (770) 888-5221.

Contact Information

Primary practice address
4035 Johns Creek Pkwy Ste B Suwanee GA 30024-1213
Phone: (770) 888-5221
Fax: (678) 680-5929
Website:
Map and Directions
Authorized official contact:
Name: Darius, Myrlaine
Phone: (770) 888-5221

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1902687981
LBN Legal business name Creekside Autism Center
DBA Doing business as
Authorized official Darius, Myrlaine
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2023
Last updated Oct 6th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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