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Individual

MRS. SARAH JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
818 WINIFRED ST, JACKSON, MI 49202
(517) 513-3617
Mailing address
818 WINIFRED ST, JACKSON, MI 49202-3062
(517) 513-3617
(517) 513-3617

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
07/08/2015
Last updated
06/05/2018
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