Lively, Jonathan

Lively, Jonathan is an individual health care provider with primary practice located at 2651 Dallas Hwy Sw , Marietta GA 30064-2541. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Lively, Jonathan can be contacted via phone (678) 486-1904.

Contact Information

Primary practice address
2651 Dallas Hwy Sw Marietta GA 30064-2541
Phone: (678) 486-1904
Fax: (317) 520-8200
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-21-151506 Georgia

Profile Details

NPI number 1003405275
LBN Legal business name Lively, Jonathan
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2021
Last updated Jan 13th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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