Individual
EILEEN RENA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4248 HILEAH DRIVE, COLUMBIA ,SC, COLUMBIA, SC 29209
(803) 427-5248
Mailing address
4248 HILEAH DRIVE, COLUMBIA ,SC, COLUMBIA, SC 29209
(803) 427-5248
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
SC
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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