Individual
OLIVIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17210 MIDLAND DR, SHAWNEE, KS 66217-8901
(913) 777-9718
Mailing address
605 S SILVER ST, PAOLA, KS 66071-2336
(913) 755-5270
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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