Active NPI
Creative Pieces Behavior Associates
- Behavior Analyst
- Woodstock, GA
National Provider Identifier
1194155044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah Bornemiss, M.ED., BCBA
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962835579 | Other | GA | NPI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Behavior Analyst
- Woodstock, GA
- NPI 1962835579
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.