Individual
KATHERINE GRACE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6344 E BROADWAY RD STE 115, MESA, AZ 85206-1634
(480) 997-1220
Mailing address
1830 W SOLSTICE AVE, APACHE JUNCTION, AZ 85120-1211
(360) 244-9933
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AZ
Other
Enumeration date
07/31/2026
Last updated
07/31/2026
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