Individual
MS. COURTNEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 38TH AVE STE F-I, ST CHARLES, IL 60174-5411
(630) 509-8700
Mailing address
1261 GETZELMAN DR APT D, ELGIN, IL 60123-2060
(847) 909-0050
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-404811
IL
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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