Individual
YASINA ARLENE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
329 GARRISONS LAKE BLVD, SMYRNA, DE 19977-4837
Mailing address
329 GARRISONS LAKE BLVD, SMYRNA, DE 19977-4837
(302) 803-2210
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-114187
DE
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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