Individual
ALEXIS SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
306 N MAIN ST STE 1A, HINESVILLE, GA 31313-2562
(912) 415-3144
Mailing address
306 N MAIN ST STE 1A, HINESVILLE, GA 31313-2562
(912) 415-3144
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT23280458
GA
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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