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Individual

CHARLES JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
13101 W WASHINGTON BLVD STE 238, LOS ANGELES, CA 90066-5173
(310) 853-8025
Mailing address
13101 W WASHINGTON BLVD STE 238, LOS ANGELES, CA 90066-5173
(310) 853-8025

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
08/05/2020
Last updated
08/05/2020
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Product
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  • Eligibility checks
  • EDI platform