Active NPI
Alexa Hackenburg, BCBA
- Behavior Analyst
- Smyrna, GA
National Provider Identifier
1336945674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-25-79364
- Practice address
- 2047 Lake Park Dr SE Apt J
Smyrna, GA 30080-7678 - Phone
- (570) 238-1957
- NPI assigned
- Feb 19, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-25-79364 | GA | Primary |
Addresses
Primary practice location
2047 Lake Park Dr SE Apt J
Smyrna, GA 30080-7678
Mailing address
2047 Lake Park Dr SE Apt J
Smyrna, GA 30080-7678
Phone (570) 238-1957
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1336945674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2047 LAKE PARK DR SE APT J",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300807678",
"telephone_number": "570-238-1957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2047 LAKE PARK DR SE APT J",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300807678",
"telephone_number": "570-238-1957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HACKENBURG",
"first_name": "ALEXA",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-19",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": "1-25-79364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.