Individual
ANIYA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9720 CAPITAL CT, MANASSAS, VA 20110-2044
(703) 770-8060
(703) 748-2212
Mailing address
9720 CAPITAL CT, MANASSAS, VA 20110-2044
(703) 770-8060
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-306703
VA
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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