Individual
COURTLIN D SCOTT-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 W WARNER AVE, CHICAGO, IL 60613-1891
(312) 940-2190
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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