Individual
BRYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5121 KINGDOM WAY STE 100, RALEIGH, NC 27607-6063
(800) 442-2762
Mailing address
2137 SUMMIT RIDGE LOOP, MORRISVILLE, NC 27560-6938
(301) 832-6228
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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