Individual
MS. KRISTINA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8605 GIRARD ST, HYATTSVILLE, MD 20785-2802
(301) 386-4135
Mailing address
8605 GIRARD ST, HYATTSVILLE, MD 20785-2802
(301) 386-4135
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LG102016
DC
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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