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Individual

ALEXA HACKENBURG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
2047 LAKE PARK DR SE APT J, SMYRNA, GA 30080-7678
(570) 238-1957
Mailing address
2047 LAKE PARK DR SE APT J, SMYRNA, GA 30080-7678
(570) 238-1957

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-79364
GA

Other

Enumeration date
02/19/2025
Last updated
02/19/2025
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