Individual
JESSICA OLEXA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2501 MACY DR, ROSWELL, GA 30076-6344
(678) 580-3997
Mailing address
2501 MACY DR, ROSWELL, GA 30076-6344
(678) 580-3997
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-58324
GA
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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