Individual
BRIDGETTE ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
827 S 40TH ST, LOUISVILLE, KY 40211-2837
(502) 548-3494
Mailing address
827 S 40TH ST, LOUISVILLE, KY 40211-2837
(502) 548-3494
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/14/2021
Last updated
08/14/2021
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