Individual
EMILY GRACE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
119 WIND CHIME COURT, SUITE 4, RALEIGH, NC 27615
(888) 805-8059
Mailing address
1055 E. COLORADO BLVD. SUITE 560, PASADENA, CA 91106
(818) 241-6780
(818) 241-6853
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/06/2020
Last updated
09/06/2020
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