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Individual

SOPHIA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5915 S EMERSON AVE, INDIANAPOLIS, IN 46237-1971
(317) 567-9307
(765) 448-1864
Mailing address
470 S VALLEY LN, GREENWOOD, IN 46142-3663
(317) 775-3232

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-22-228644
IN
225X00000X
Occupational Therapist
Primary
31008974A
IN

Other

Enumeration date
12/14/2022
Last updated
02/12/2026
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