Individual
LESLIE LASHAE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3715 S MADISON ST, MUNCIE, IN 47302-5756
(765) 283-4329
(800) 546-2329
Mailing address
3556 N TILLOTSON AVE APT 208, MUNCIE, IN 47304-1623
(765) 716-6534
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
02314770
IN
Other
Enumeration date
03/11/2022
Last updated
10/25/2023
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