Individual
CHANTIARA LASHAIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1608 N CENTENNIAL ST, HIGH POINT, NC 27262-7504
(228) 343-9412
Mailing address
1608 N CENTENNIAL ST, HIGH POINT, NC 27262-7504
(228) 343-9412
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NC
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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