Individual
JOHN R JOHNSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S
Contact information
Practice address
13800 COPPERMINE RD, HERNDON, VA 20171-6163
(718) 215-5311
(718) 865-5165
Mailing address
13800 COPPERMINE RD, HERNDON, VA 20171-6163
(718) 215-5311
(718) 865-5165
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-445440
VA
Other
Enumeration date
04/27/2011
Last updated
06/18/2025
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