Organization Active NPI

Creative Pieces Behavior Associates

  • Behavior Analyst
  • Woodstock, GA
National Provider Identifier
1194155044
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-12-10126
Legal business name
CREATIVE PIECES BEHAVIOR ASSOCIATES
Practice address
2295 Towne Lake Pkwy
Suite-116-158
Woodstock, GA 30189-5520
Phone
(770) 508-5187
Fax
(180) 088-3926
NPI assigned
Nov 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sarah Bornemiss, M.ED., BCBANPI 1962835579
Title
Behavior Analyst, Owner
Phone
(770) 508-5187

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-12-10126 Primary

Addresses

Primary practice location

2295 Towne Lake Pkwy
Suite-116-158
Woodstock, GA 30189-5520

Mailing address

2295 Towne Lake Pkwy
Suite-116-158
Woodstock, GA 30189-5520
Phone (770) 508-5187

Other identifiers 1

IdentifierTypeStateIssuer
1962835579OtherGANPI

National Provider Directory

National Provider Directory

Locations

2295 Towne Lake Pkwy
Ste 116158
Woodstock, GA 30189
Phone (706) 442-5460

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1194155044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 TOWNE LAKE PKWY",
            "address_2": "SUITE-116-158",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895520",
            "telephone_number": "770-508-5187",
            "fax_number": "180-088-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 TOWNE LAKE PKWY",
            "address_2": "SUITE-116-158",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895520",
            "telephone_number": "770-508-5187",
            "fax_number": "180-088-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE PIECES BEHAVIOR ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "BORNEMISS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST, OWNER",
        "authorized_official_telephone_number": "770-508-5187",
        "authorized_official_credential": "M.ED., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-12-10126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962835579",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.