Individual
DENISE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
296 BEAUVOIR RD STE 100-1311, BILOXI, MS 39531-4051
(228) 707-4417
(228) 678-7877
Mailing address
296 BEAUVOIR RD STE 100-1311, BILOXI, MS 39531-4051
(228) 707-4417
(228) 678-7877
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/09/2020
Last updated
12/18/2022
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