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Creative Behavioral Services, LLC

Details

Name: Creative Behavioral Services, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 01 Nov 2017 (7 years ago)
Entity Number: 000-407-605
Register Number: 000407605
County: Walker
Place of Formation: Walker County
Registered Office Street Address: 600 16TH ST EJASPER, AL 35501
Registered Office Street Address ZIP Code: 35501

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1245744192 2017-11-29 2017-12-01 600 16TH ST E, JASPER, AL, 355014809, US 600 16TH ST E, JASPER, AL, 355014809, US

Contacts

Phone +1 205-522-1481

Authorized person

Name HOLLY PATRICK
Role DIRECTOR
Phone 2055221481

Taxonomy

Taxonomy Code 103K00000X - Behavior Analyst
License Number 1-17-25312
State AL
Is Primary Yes

Agent

Name Role
PATRICK, HOLLY L Agent

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State