Individual
SHEILA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1310 BOONE HILL RD APT 6E, SUMMERVILLE, SC 29483-2441
(843) 609-9420
Mailing address
1310 BOONE HILL RD APT 6E, SUMMERVILLE, SC 29483-2441
(843) 609-9420
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-16-22073
SC
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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