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Individual

ALLYSON JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
399 HOSPITAL LN, TERRE HAUTE, IN 47802-4394
(812) 645-2308
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-160173
IN

Other

Enumeration date
03/17/2021
Last updated
03/17/2021
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