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Individual

ALEXIS JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5138 GLENN DALE WOODS CT, GLENN DALE, MD 20769-9113
(240) 645-5393
Mailing address
5138 GLENN DALE WOODS CT, GLENN DALE, MD 20769-9113
(240) 645-5393

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician
MD

Other

Enumeration date
04/20/2018
Last updated
09/26/2022
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