Individual
DEJA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Mailing address
28091 5TH AVE, DAPHNE, AL 36526-5276
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
9520291
AL
Other
Enumeration date
08/06/2026
Last updated
08/06/2026
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