Individual
CAROLYN JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6655 QUINCE RD STE 101, MEMPHIS, TN 38119-8031
(901) 567-5361
Mailing address
6655 QUINCE RD STE 101, MEMPHIS, TN 38119-8031
(901) 567-5361
(901) 321-5257
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-40414
TN
Other
Enumeration date
01/07/2020
Last updated
12/30/2022
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