Individual
ABBYGAIL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
252 CALHOUN ST, WEST POINT, MS 39773-3151
(662) 391-1964
Mailing address
252 CALHOUN ST, WEST POINT, MS 39773-3151
(662) 295-9094
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MS
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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