Individual
MAKAYLA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
168 CHURCH ST, CLAY, WV 25043-9420
(304) 587-6045
Mailing address
2121 7TH ST, PARKERSBURG, WV 26101-3803
(304) 485-1721
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
02/21/2024
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