Individual
FAITH DANIELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
531 CEDAR LAKE LN, CLINTON, NC 28328-8835
(910) 214-3638
Mailing address
8848 CLINTON RD, STEDMAN, NC 28391-8830
(910) 214-3638
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/17/2022
Last updated
02/23/2024
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