Individual
MICHAH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 W ELMWOOD DR, MONROE, LA 71203-2509
(318) 737-9650
Mailing address
12 W ELMWOOD DR, MONROE, LA 71203-2509
(318) 737-9650
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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