Creekside Autism Center

NPI #1902687981 in Suwanee, Georgia

Provider Information

NPI Number: 1902687981
Entity Type: Organization
Organization Name: Creekside Autism Center
Primary Specialty: Behavior Analyst
Enumeration Date: Oct 6, 2023
Last Updated: Oct 6, 2023

Practice Location

Address: 4035 JOHNS CREEK PKWY STE B
City: Suwanee
State: Georgia
ZIP Code: 30024-1213
Phone: (770) 888-5221

Authorized Official

Name: MYRLAINE DARIUS
Title: ADMIN DIRECTOR
Phone: (770) 888-5221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assistant Behavior Analyst	106E00000X
Behavior Technician	106S00000X
Behavior Analyst	103K00000X	Primary

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