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Individual

MR. JOHN DAVID JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BCBA, LBA

Contact information

Practice address
401 AVENUE G, MATAMORAS, PA 18336-1303
(570) 856-2525
Mailing address
401 AVENUE G, MATAMORAS, PA 18336-1303
(570) 856-2525

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001408
NY
103K00000X
Behavior Analyst
71-001408
NY

Other

Enumeration date
06/21/2017
Last updated
03/10/2023
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