Individual
CORBYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7932 SUMMA AVE STE B2, BATON ROUGE, LA 70809-3736
(225) 349-7163
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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