Individual
SAMANTHA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3820 FABER PLACE DR STE 600, NORTH CHARLESTON, SC 29405-8548
(843) 652-7049
Mailing address
PO BOX 931142, ATLANTA, GA 31193-1142
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-514485
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/30/2021
Last updated
02/20/2026
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