Individual
SOPHIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
344 GROVE ST UNIT 1083, JERSEY CITY, NJ 07302-5923
(917) 806-9467
Mailing address
344 GROVE ST UNIT 1083, JERSEY CITY, NJ 07302-5923
(917) 806-9467
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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