Kids Creek Therapy
Kids Creek Therapy is a Behavior Analyst in Suwanee, Georgia. Licensed in Georgia. Registered with an NPI since 2006.
- Licensed in
- GA
- In the registry since
- 2006
- Specialties on file
- 15
Practice location Address checks out
4055 Johns Creek Pkwy Ste ASuwanee, GA 30024-1299
Phone: (770) 888-5221
Fax: (678) 680-5929
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X |
|---|---|
| Behavior Analyst | Taxonomy 103K00000X |
| Assistant Behavior Analyst | Taxonomy 106E00000X |
| Behavior Technician | Taxonomy 106S00000X |
| Physical Therapist | Taxonomy 225100000X · Licence PT008420 (GA) |
| Physical Therapist | Taxonomy 225100000X · Licence PT008827 (GA) |
| Occupational Therapist | Taxonomy 225X00000X · Licence OT003747 (GA) |
| Occupational Therapist | Taxonomy 225X00000X · Licence OT001067 (GA) |
| Occupational Therapist | Taxonomy 225X00000X · Licence OT003625 (GA) |
| Occupational Therapist | Taxonomy 225X00000X · Licence OT001466 (GA) |
| Speech-Language Pathologist | Taxonomy 235Z00000X · Licence SLP004267 (GA) |
| Speech-Language Pathologist | Taxonomy 235Z00000X · Licence SLP005105 (GA) |
| Speech-Language Pathologist | Taxonomy 235Z00000X · Licence SLP005895 (GA) |
| Speech-Language Pathologist | Taxonomy 235Z00000X · Licence SLP004972 (GA) |
| Speech-Language Pathologist | Taxonomy 235Z00000X · Licence SLP006187 (GA) |
Record details
| NPI number | 1700983772 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Myrlaine Darius — Admin Director · (770) 888-5221 |
| NPI enumerated | September 20, 2006 |
| Last updated in NPPES | October 2, 2023 |
| Certification date | October 2, 2023 |
| Mailing address | 4055 Johns Creek Pkwy Ste A, Suwanee, GA 30024-1299 |
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Miquia Lide
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