Individual
ALEXIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LABA
Contact information
Practice address
345 GREENWOOD ST, WORCESTER, MA 01607-1753
(508) 363-0201
Mailing address
144 PUTNAM RD, DAYVILLE, CT 06241-1217
(508) 579-6835
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-60891
MA
Other
Enumeration date
05/29/2019
Last updated
06/29/2023
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