Provider Demographics
NPI:1275344384
Name:HAWKINS, ALIVIA KEVIN
Entity type:Individual
Prefix:
First Name:ALIVIA
Middle Name:KEVIN
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 PINEVIEW LN
Mailing Address - Street 2:
Mailing Address - City:DADEVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36853-4985
Mailing Address - Country:US
Mailing Address - Phone:256-307-2662
Mailing Address - Fax:
Practice Address - Street 1:211 SAWTOOTH CT
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30114-8830
Practice Address - Country:US
Practice Address - Phone:256-307-2662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician