Individual
ELIOENAI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 S MOUNT JULIET RD STE 235-118, MT JULIET, TN 37122-6359
(877) 504-4141
Mailing address
319 VALERIA ST, NASHVILLE, TN 37210-4919
(270) 702-1991
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
10/23/2024
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