Individual
JULIE L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
108694
AK
225X00000X
Occupational Therapist
Primary
2610
AK
Other
Enumeration date
06/18/2013
Last updated
06/18/2018
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