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Individual

CHRISTINA KABANA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11905 BOWMAN DR STE 507, FREDERICKSBURG, VA 22408-7344
(540) 395-9962
Mailing address
10009 BRITTANY COMMONS BLVD APT 112, SPOTSYLVANIA, VA 22553-4462

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
05/19/2018
Last updated
06/16/2018
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