Individual
MS. REBECCA ANNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
601 E SPAULDING ST, RIVERTON, IL 62561-9692
(217) 370-2597
Mailing address
601 E SPAULDING ST, RIVERTON, IL 62561-9692
(217) 370-2597
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-19-10592
—
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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