IndividualActive
Alexa Hackenburg, BCBA
NPI 1336945674 · Behavior Analyst · Smyrna, GA
Provider details
- NPI number
- 1336945674
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- No
- License
- 1-25-79364 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2047 Lake Park Dr Se Apt J
Smyrna, GA 30080-7678
Phone: (570) 238-1957
Approximate (ZIP-level) locationGet directions
Mailing address
2047 Lake Park Dr Se Apt J
Smyrna, GA 30080-7678
Registry dates
- Enumerated
- 2025-02-19
- Last updated
- 2025-02-19
- Certified
- 2025-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.