Provider Demographics
NPI:1821807900
Name:CREATIVE HANDS ABA LLC
Entity type:Organization
Organization Name:CREATIVE HANDS ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/BCBA
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:406-581-6696
Mailing Address - Street 1:6205 BLACKWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-7780
Mailing Address - Country:US
Mailing Address - Phone:406-581-6696
Mailing Address - Fax:
Practice Address - Street 1:6205 BLACKWOOD RD
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-7780
Practice Address - Country:US
Practice Address - Phone:406-581-6696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-03
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty