Individual
MS. SAMANTHA BROOKE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
870 HOLLIDAY DAM RD, HONEA PATH, SC 29654-9430
(864) 367-4351
Mailing address
870 HOLLIDAY DAM RD, HONEA PATH, SC 29654-9430
(864) 367-4351
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
105855807
SC
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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