Individual
KRISTIAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
223 BLANCHARD RD, DREXEL HILL, PA 19026-2821
(267) 872-6078
Mailing address
223 BLANCHARD RD, DREXEL HILL, PA 19026-2821
(267) 872-6078
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
101000X
PA
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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