Individual
LOLITA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4023 KENNETT PIKE # 988, WILMINGTON, DE 19807-2018
(484) 577-9928
Mailing address
121 WYE OAK DR, TOWNSEND, DE 19734-9436
(302) 300-6260
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-24-337908
DE
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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