Individual
TIMOTHY JOHNSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
116 LANDMARK SQ STE 104, VIRGINIA BEACH, VA 23452-6872
(757) 477-3165
Mailing address
116 LANDMARK SQ STE 104, VIRGINIA BEACH, VA 23452-6872
(757) 477-3165
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
5534
VA
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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