Individual
LAUREN ASHLEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1 MOOCK RD STE 101, WILDER, KY 41071-5465
(859) 341-9333
(859) 341-9444
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9058
(419) 695-8010
(606) 328-5153
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-20-133165
KY
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/23/2020
Last updated
06/20/2023
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