Individual
NATALIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7767 OSWEGO RD, LIVERPOOL, NY 13090-2322
(315) 992-1929
Mailing address
7767 OSWEGO RD, LIVERPOOL, NY 13090-2322
(718) 215-5311
(718) 865-5165
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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