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Individual

MS. TONIA JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
1001 LAURENCE AVE STE E, JACKSON, MI 49202-2980
(517) 750-4777
(517) 782-4717
Mailing address
2351 MARIE WAY, OAK HARBOR, WA 98277-8593
(360) 720-8899

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103K00000X
Behavior Analyst
Primary
BACB264972
WA

Other

Enumeration date
03/25/2014
Last updated
07/07/2016
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