Individual
ALICIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7277 HAWKINS VIEW DR, FORT WORTH, TX 76132-3921
(682) 291-9911
Mailing address
7277 HAWKINS VIEW DR, FORT WORTH, TX 76132-3921
(682) 291-9911
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-2331203
TX
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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