Individual
MRS. DACY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1 DUNWOODY PARK STE 220, ATLANTA, GA 30338-7404
(470) 408-9400
(470) 408-2282
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(786) 640-8940
(407) 588-6294
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB261873
GA
Other
Enumeration date
10/17/2015
Last updated
09/10/2021
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