Individual
ALAISHA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 O ST, SUITE C, ARCATA, CA 95521-5789
(303) 989-8169
Mailing address
901 O ST, SUITE C, ARCATA, CA 95521-5789
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/13/2019
Last updated
07/13/2019
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