Individual
TANIA SHADE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,BCBA
Contact information
Practice address
56 HIGH CT APT 2, EAST HARTFORD, CT 06118-1851
(860) 502-0290
Mailing address
56 HIGH CT APT 2, EAST HARTFORD, CT 06118-1851
(860) 502-0290
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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