Individual
ASHLEY MAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1655 W MEQUON RD, MEQUON, WI 53092-3254
Mailing address
950 LEE ST STE 210, DES PLAINES, IL 60016-6574
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-48566
—
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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