Individual
SHALISA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6766 TAYLOR CIRCLE MONTGOMERY, MONTGOMERY, AL 36117
(334) 301-6915
Mailing address
6766 TAYLOR CIRCLE MONTGOMERY, MONTGOMERY, AL 36117
(334) 301-6915
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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