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Individual

PATRICIA R JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
25 LITTLE PLAINS RD, HUNTINGTON, NY 11743-4550
(631) 266-4435
(631) 266-4451
Mailing address
25 LITTLE PLAINS RD, HUNTINGTON, NY 11743-4550
(631) 266-4435
(631) 266-4451

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
12/16/2018
Last updated
12/16/2018
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