Individual
ANITRA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7843 EVERETT AVE, KANSAS CITY, KS 66112-2130
(816) 447-5248
Mailing address
7843 EVERETT AVE, KANSAS CITY, KS 66112-2130
(816) 447-5248
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
K03321482
KS
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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