Individual
ALISSA MEREDITH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450061 STATE ROAD 200 UNIT 2, CALLAHAN, FL 32011-3842
(904) 886-3228
Mailing address
450061 STATE ROAD 200 UNIT 2, CALLAHAN, FL 32011-3842
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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