Individual
CHRISTINA DANIELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 E 7TH ST, CHARLOTTE, NC 28204-6300
(704) 743-3036
Mailing address
1963 E HUDSON BLVD APT J, GASTONIA, NC 28054-6136
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/18/2019
Last updated
02/25/2019
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