Individual
AMANDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21111 N 9TH PL STE 204, PHOENIX, AZ 85024-5636
(602) 726-2300
Mailing address
17435 N 7TH ST APT 2121, PHOENIX, AZ 85022-1974
(602) 566-2220
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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