Individual
CHARLES STEPHEN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
1383 RICHARD RD, DECATUR, GA 30032-2533
(678) 725-5060
Mailing address
1383 RICHARD RD, DECATUR, GA 30032-2533
(678) 725-5060
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-63750
GA
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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