Individual
MADISON NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
429 LAKE PARK BLVD, MUSCATINE, IA 52761-5452
(562) 205-9885
Mailing address
1214 OAK ST APT 307, WILTON, IA 52778-9517
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IA
Other
Enumeration date
07/17/2026
Last updated
07/17/2026
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