Individual
ANANI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
629 AIRPORT RD # P, LAWRENCEVILLE, GA 30046-4474
(678) 255-0597
Mailing address
909 OLIVER ST, VALDOSTA, GA 31601-3754
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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