Individual
JENNIFER JOHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 NORTHPORT PLZ, HANNIBAL, MO 63401-2269
(314) 282-3974
Mailing address
1810 CRAIG RD STE 109, SAINT LOUIS, MO 63146-4758
(314) 282-3974
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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