Individual
LEIDY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1796 NEWTON RANSOM BLVD, CLARKS SUMMIT, PA 18411-9610
(570) 520-8355
Mailing address
1796 NEWTON RANSOM BLVD, CLARKS SUMMIT, PA 18411-9610
(570) 520-8355
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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