Individual
RICKIE STEVEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
131 WELLNESS DR, SUMMERSVILLE, WV 26651-5402
(304) 872-0058
(304) 872-0116
Mailing address
131 WELLNESS DR, SUMMERSVILLE, WV 26651-5402
(304) 872-0058
(304) 872-0116
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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