Alexandra Heeter
Behavior Technician in Woodstock, GA. Individual provider (NPI-1).
NPI number1164032025
StatusActive
Last updated in NPPESAug 5, 2020
Details
- NPI
- 1164032025
- Entity type
- Individual (NPI-1)
- Name
- Alexandra Heeter
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2020
- Certification date
- Aug 5, 2020
- Last updated
- Aug 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3229 S Cherokee LnWoodstock, GA 30188-4461
Phone 470-499-2480
Mailing address
300 International Pkwy Ste 200Lake Mary, FL 32746-5028
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