Individual
DR. GWEN A JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA, LBA
Contact information
Practice address
8043 CORPORATE CIR STE 1, NORTH ROYALTON, OH 44133-1279
(614) 783-4936
Mailing address
5980 S DURANGO DR STE 131, LAS VEGAS, NV 89113-1775
(614) 783-4936
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-05-2208
FL
Other
Enumeration date
05/14/2008
Last updated
06/10/2021
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