Individual
TASIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 GALLOPING HILL RD, UNION, NJ 07083-7983
(908) 686-1505
Mailing address
114 PERSHING AVE, ROSELLE PARK, NJ 07204-2310
(908) 418-5144
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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