Individual
FRANCES TARESSA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6036 S 3RD AVE, PHOENIX, AZ 85041-5706
(240) 784-6530
Mailing address
6036 S 3RD AVE, PHOENIX, AZ 85041-5706
(240) 784-6530
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AZ
Other
Enumeration date
12/30/2022
Last updated
12/30/2022
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