Individual
EMILY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
183 BAY STATE RD APT 1R, BOSTON, MA 02215-1506
(732) 672-7372
Mailing address
183 BAY STATE RD APT 1R, BOSTON, MA 02215-1506
(732) 672-7372
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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