Alexandra Mauk

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-51798 Issued in GA

Practice address

2849 Henderson Mill Rd
Atlanta, GA 30341-5772

Phone

(706) 842-5330

Fax

(706) 842-5340

NPI assigned

Nov 5, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1194326199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3736 EXECUTIVE CENTER DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072360",
            "telephone_number": "706-842-5330",
            "fax_number": "706-842-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2849 HENDERSON MILL RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303415772",
            "telephone_number": "706-842-5330",
            "fax_number": "706-842-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUK",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-20-133914",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-21-51798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syhnia Mattox
• Tracie V Mattox
• Taylor Maturo, MD
• Charles Matuza, P.A.
• Madison Leigh Mauge, CPNP
• Marissa Maule, MS, RD, LD
• Madeline Maull
• Mason Anthony Mault, AU.D.
• Anna Maurer
• Eric Maurer

• Behavior Analyst in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.