Individual
LAURYN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 PENDLETON ST, COLUMBIA, SC 29208-4109
(843) 956-3675
Mailing address
1501 PENDLETON ST, COLUMBIA, SC 29208-4109
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-304405
SC
Other
Enumeration date
06/25/2026
Last updated
06/25/2026
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