Individual
MAKENNA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8300 JERFFERSON ST NE, SUITE B, ALBUQUERQUE, NM 87113-6774
(505) 226-6127
Mailing address
8300 JERFFERSON ST NE, SUITE B, ALBUQUERQUE, NM 87113-6774
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/15/2021
Last updated
01/13/2022
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