Individual
ALYSSA LEIGH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 ELMHURST, KYLE, TX 78640-5981
(737) 248-7042
Mailing address
207 ELMHURST, KYLE, TX 78640-5981
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-345705
TX
Other
Enumeration date
07/29/2024
Last updated
01/31/2025
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