Individual
BRAXTON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
600 CORPORATION DR, PENDLETON, IN 46064-8610
(765) 587-5422
Mailing address
4105 N WALNUT ST, MUNCIE, IN 47303-5904
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-333290
IN
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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