Individual
DAWN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
971 E WICHITA AVE, RUSSELL, KS 67665-2444
(316) 400-3535
(316) 400-3536
Mailing address
2105 27TH ST, GREAT BEND, KS 67530-7325
(316) 841-5938
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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