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1114637501
ALEXANDRA GOODMAN
BUFORD, GA
NPI
1114637501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-23-255896)
Enumeration Date
2022-11-28
Last Update Date
2024-11-12
Business Address
ALEXANDRA GOODMAN
5328 LANIER ISLANDS PKWY UNIT 101
BUFORD, GA 30518-9071
Phone number: 470-655-1970
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Mailing Address
ALEXANDRA GOODMAN
5328 LANIER ISLANDS PKWY UNIT 101
BUFORD, GA 30518-9071
Phone number: 470-655-1970
Copy
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