Individual
MRS. SUSAN DAVIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA
Contact information
Practice address
1405 S BROAD ST, WINSTON SALEM, NC 27127-2068
(855) 772-8847
Mailing address
752 TRAINING CENTER RD, HILLSVILLE, VA 24343-5656
(762) 371-3472
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001627
VA
Other
Enumeration date
02/14/2020
Last updated
08/11/2025
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