Individual
ADIALIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1508 W ARTESIA SQUARE SUITE B, GARDENA, CA 90248
(800) 249-1266
Mailing address
1301 E ORANGEWOOD AVE, ANAHEIM, CA 92805-6807
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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