Individual
JAMAAL DEON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
390 REED RD FL 1, BROOMALL, PA 19008-4008
(484) 450-6476
(484) 224-3398
Mailing address
5450 WISSAHICKON AVE APT A624, PHILADELPHIA, PA 19144-5251
(202) 550-8024
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH003968
PA
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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