Individual
DESARAY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17732 HIGHLAND RD STE G, BATON ROUGE, LA 70810-3846
(855) 832-6727
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
R-13784
LA
Other
Enumeration date
02/27/2023
Last updated
11/12/2024
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