Individual
JANAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 VESTAVIA PKWY STE 2400, VESTAVIA, AL 35216-3797
(205) 490-3931
Mailing address
312 W 5TH ST UNIT B, CORBIN, KY 40701-1610
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
363A00000X
Physician Assistant
Primary
—
GA
Other
Enumeration date
03/11/2022
Last updated
03/12/2026
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