Individual
DASHUNIQUE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 W ML KING JR DR, HINESVILLE, GA 31313-3226
(912) 415-3144
Mailing address
124 W ML KING JR DR, HINESVILLE, GA 31313-3226
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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