Individual
AJA NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 FIVE FORKS TRICKUM RD SW STE 203, LILBURN, GA 30047-1887
(716) 578-5610
Mailing address
230 SALEM GLEN WAY SE, CONYERS, GA 30013-5330
(716) 578-5619
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-26-86925
GA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/09/2020
Last updated
01/09/2026
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