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Individual
WANONA L JOHNSON
Active
Individual
WANONA L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
1-21-51760
—
106S00000X
Behavior Technician
RBT-19-102125
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
08/21/2018
Last updated
12/03/2025
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