Individual
MS. SHELLY ILENE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21905 S FINLEY RD, KENNEWICK, WA 99337-8733
(509) 396-9112
Mailing address
21905 S FINLEY RD, KENNEWICK, WA 99337-8733
(509) 396-9112
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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