Individual
MARISHA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
232 SUMMIT AVE, JERSEY CITY, NJ 07304-3108
(201) 354-0140
Mailing address
232 SUMMIT AVE, JERSEY CITY, NJ 07304-3108
(201) 354-0140
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NJ
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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