Individual
LYNETTE KAMACHI JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
10926 S TRYON ST STE E, CHARLOTTE, NC 28273-4154
(855) 201-5498
Mailing address
10926 S TRYON ST STE E, CHARLOTTE, NC 28273-4154
(855) 201-5498
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BCBA: 1-13-14990
CA
Other
Enumeration date
11/27/2013
Last updated
06/24/2019
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