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Individual

KRISTEN EVE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11607 SOUTHFORK AVE., BUILDING B, BATON ROUGE, LA 70816
(888) 880-9270
Mailing address
350 FAIRWAY DRIVE, SUITE 101, DEERFIELD BEACH, FL 33441
(877) 418-2978
(866) 500-2186

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
LA

Other

Enumeration date
09/06/2023
Last updated
09/06/2023
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