Individual
ALISA LASCHELL ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
260 PEACHTREE ST NW STE 2200, ATLANTA, GA 30303-1292
(855) 832-6727
Mailing address
3257 OHARA DR N, MACON, GA 31206-3829
(478) 978-1396
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-191244
GA
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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