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Individual
BRENT ANTHONY JOHNSON
Active
Individual
BRENT ANTHONY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-169987
CA
106S00000X
Behavior Technician
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—
Other
Enumeration date
11/23/2020
Last updated
12/04/2024
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