Individual
ALIYAH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 POCOSHOCK PL STE 102, NORTH CHESTERFIELD, VA 23235-6345
(804) 562-8705
Mailing address
2500 POCOSHOCK PL STE 102, NORTH CHESTERFIELD, VA 23235-6345
(804) 562-8705
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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