Individual
ALEXIS L GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 NORTHSIDE XING, MACON, GA 31210-2376
(855) 832-6727
Mailing address
11935 ABERCORN ST # 603, SAVANNAH, GA 31419-1918
(478) 461-1921
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB947484
GA
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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