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Individual

KELLY L JOHNSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S, B.C.B.A.

Contact information

Practice address
1629 COLUMBIA RD NW, #608, WASHINGTON, DC 20009-3662
(215) 888-6889
Mailing address
4700 9TH ST NW, WASHINGTON, DC 20011-4544

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-08-4397
FL

Other

Enumeration date
03/25/2009
Last updated
02/05/2013
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