Individual
ALIVIA NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
89 LAKEWIND CT, SANFORD, NC 27332-0612
(919) 601-4785
(910) 356-9466
Mailing address
706 WINDY HILL CIR APT D, FAYETTEVILLE, NC 28303-2091
(724) 681-1729
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
25457394
NC
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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