Individual
SHAWNA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
287 SE WESTOWN PARKWAY, WAUKEE, IA 50263
(337) 375-1665
Mailing address
287 SE WESTOWN PARKWAY, WAUKEE, IA 50263
(337) 375-1665
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
118233
IA
Other
Enumeration date
10/12/2020
Last updated
10/24/2023
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