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Individual

KENDRA ANNE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
665 N GILBERT RD STE 152, GILBERT, AZ 85234-3395
(602) 726-2300
Mailing address
24232 N DESERT DR, FLORENCE, AZ 85132-5180
(520) 350-5484

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
01/23/2025
Last updated
01/23/2025
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