Provider Demographics
NPI:1407619604
Name:TWIGGS, ALEIA CARLY
Entity Type:Individual
Prefix:
First Name:ALEIA
Middle Name:CARLY
Last Name:TWIGGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31313-2533
Mailing Address - Country:US
Mailing Address - Phone:912-415-3144
Mailing Address - Fax:866-467-4321
Practice Address - Street 1:306 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:31313-2533
Practice Address - Country:US
Practice Address - Phone:912-415-3144
Practice Address - Fax:866-467-4321
Is Sole Proprietor?:No
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician