Individual
OLIVIA JO JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3401 45TH ST S, FARGO, ND 58104-8970
(701) 356-4384
Mailing address
1113 UNIVERSITY DR N UNIT 408, FARGO, ND 58102-5532
(507) 581-2387
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/17/2024
Last updated
04/19/2024
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