Provider Demographics
NPI:1629309240
Name:ESTABLISHING OPERATIONS, INC.
Entity Type:Organization
Organization Name:ESTABLISHING OPERATIONS, INC.
Other - Org Name:EO INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:R
Authorized Official - Last Name:KIBBE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA
Authorized Official - Phone:678-458-7659
Mailing Address - Street 1:1325 CAMERON GLEN DR
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-3046
Mailing Address - Country:US
Mailing Address - Phone:678-458-7659
Mailing Address - Fax:770-578-1637
Practice Address - Street 1:1325 CAMERON GLEN DR
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-3046
Practice Address - Country:US
Practice Address - Phone:678-458-7659
Practice Address - Fax:770-578-1637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-21
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1-06-2778103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty