Provider Demographics
NPI:1023888146
Name:ALEXANDER, BRITTANIE MARIE
Entity type:Individual
Prefix:
First Name:BRITTANIE
Middle Name:MARIE
Last Name:ALEXANDER
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 1:312 BALD EAGLE WAY
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-7714
Mailing Address - Country:US
Mailing Address - Phone:470-388-7154
Mailing Address - Fax:
Practice Address - Street 1:312 BALD EAGLE WAY
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-7714
Practice Address - Country:US
Practice Address - Phone:470-388-7154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst