Individual
ANIYA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9905 FALL CREEK RD, INDIANAPOLIS, IN 46256-4804
(317) 813-4690
Mailing address
3659 LACEBARK DR, INDIANAPOLIS, IN 46235-5603
(317) 966-5142
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-459148
IN
Other
Enumeration date
07/26/2024
Last updated
09/03/2025
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