Individual
DESTINY LYNNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4717 E MCDOWELL RD, PHOENIX, AZ 85008-4544
(623) 283-4830
Mailing address
4717 E MCDOWELL RD, PHOENIX, AZ 85008-4544
(623) 283-4830
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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