Individual
CRYSTAL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
308 PINE ST, BEECHER, IL 60401-4010
(708) 231-6177
Mailing address
308 PINE ST, BEECHER, IL 60401-4010
(708) 231-6177
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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