Individual
GRACE ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3501 W KENOSHA ST, BROKEN ARROW, OK 74012-8948
(855) 782-7822
Mailing address
3501 W KENOSHA ST, BROKEN ARROW, OK 74012-8948
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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