Provider Demographics
NPI:1417566126
Name:COLLINS, ALEXIA ELAINE (BCBA)
Entity type:Individual
Prefix:MRS
First Name:ALEXIA
Middle Name:ELAINE
Last Name:COLLINS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12082 N CROSSWICKS RD
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30291-1174
Mailing Address - Country:US
Mailing Address - Phone:404-688-7171
Mailing Address - Fax:
Practice Address - Street 1:104 W CAMPBELLTON ST
Practice Address - Street 2:
Practice Address - City:FAIRBURN
Practice Address - State:GA
Practice Address - Zip Code:30213-1219
Practice Address - Country:US
Practice Address - Phone:770-742-0249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-28
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1-25-81697103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty