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Individual

KATYANNA JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Mailing address
13333 NE BEL RED RD STE 100, BELLEVUE, WA 98005-2332
(619) 725-9925

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
175T00000X
Peer Specialist

Other

Enumeration date
03/02/2016
Last updated
02/18/2022
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