Individual
KATRINA ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LPA
Contact information
Practice address
1122 SAM NEWELL RD, STE 104, MATTHEWS, NC 28105-5015
(704) 277-7018
Mailing address
2550 MIDDLEBRIDGE LN, CHARLOTTE, NC 28270-1710
(704) 277-7018
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
Primary
3685
NC
Other
Enumeration date
02/23/2011
Last updated
05/02/2014
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