Individual
MS. MARILYN GRACE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBS
Contact information
Practice address
200 RENAISSANCE DR STE 401, BUTLER, PA 16001-7612
(724) 421-3655
Mailing address
200 RENAISSANCE DR STE 401, BUTLER, PA 16001-7612
(724) 421-3655
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH000450
PA
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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