Alexander Callocchio

NPI 1275130528 · on the registry since 2020

Practice

Address: 225 Millard Farmer Ind Blvd Ste 100
Newnan, GA 30263
Phone: (904) 538-0713
Fax: (904) 538-0714
Organisation at this address: James G. Burson, Md, Llc
Pathways Center For Behavioral And Developmental Growth
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 21

Registry record

Primary taxonomy: Behavior Technician
106S00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-10-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia