Individual
MS. ALEXIS DANIELLE FORTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 COLONIAL CENTER PKWY STE NROSWELL, ROSWELL, GA 30076-4899
(954) 603-7885
Mailing address
1123 BETTY DR, COLUMBUS, GA 31907-3928
(706) 326-1982
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/12/2015
Last updated
02/17/2026
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