Individual
ALLIYAH DENISE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
21727 IH 10 W STE 108, SAN ANTONIO, TX 78257-2108
(210) 455-1091
Mailing address
12304 UPTON PARK, SAN ANTONIO, TX 78253-7047
(386) 984-9013
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-252749
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-23-252749
COMMERCIAL INSURANCE
TX
Enumeration date
01/10/2023
Last updated
01/10/2023
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