Individual
MONIFA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
79 SAND PEBBLE DR STE A, JACKSON, TN 38305-7591
(239) 321-3003
Mailing address
404 BROOKS DR, TRENTON, TN 38382-2104
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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