Individual
JOSIE M JOHANNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21505 N 78TH AVE STE 125, PEORIA, AZ 85382-3356
(602) 535-8341
Mailing address
6731 N 44TH AVE, GLENDALE, AZ 85301-3603
(602) 459-3420
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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