Individual
MISS KELSEY ALAINA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 IRON BRIDGE DR, COLLEGEVILLE, PA 19426-2058
(484) 975-0675
Mailing address
80 N LIMERICK RD, LIMERICK, PA 19468-1782
(484) 686-3956
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/02/2020
Last updated
08/07/2023
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