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Individual

MRS. JESSICA CHARLES JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
245 VILLAGE CENTER PKWY, STOCKBRIDGE, GA 30281-9096
(844) 390-3154
Mailing address
245 VILLAGE CENTER PKWY, STOCKBRIDGE, GA 30281-9096
(844) 390-3154

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB617973
GA

Other

Enumeration date
06/06/2022
Last updated
06/06/2022
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