Individual
HOLLY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6200 BURY DR, EDEN PRAIRIE, MN 55346-1718
(866) 822-7464
Mailing address
7121 HEATHERTON TRL, EDINA, MN 55435-4120
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/22/2020
Last updated
05/22/2020
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