Individual
BERNA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5300 NW 111TH ST, OKLAHOMA CITY, OK 73162-5928
(405) 728-3548
Mailing address
5300 NW 111TH ST, OKLAHOMA CITY, OK 73162-5928
(405) 728-3548
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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