Individual
ALEXIS JASMINE SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
806 TOWNE PARK DR, RINCON, GA 31326-9368
(912) 208-4776
Mailing address
430 WEISENBAKER RD APT 31, RINCON, GA 31326-9029
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
853353346
GA
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
853353346
GA
Other
Enumeration date
05/27/2026
Last updated
06/09/2026
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