Individual
BREOSHA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7313 EAGLE CREST BLVD, EVANSVILLE, IN 47715-8157
(812) 213-7350
Mailing address
920 SE 6TH ST APT A, EVANSVILLE, IN 47713-1679
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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