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Individual

ALEXANDRA WITHROW WEEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., BCBA

Contact information

Practice address
1619 COLLINS RD NW STE 500, KENNESAW, GA 30152-8237
(470) 531-0430
Mailing address
319 CANTON RD, CUMMING, GA 30040-2213

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA001023
GA
106S00000X
Behavior Technician
Primary

Other

Enumeration date
06/05/2019
Last updated
02/04/2026
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