Individual
STEPHANIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. B.C.B.A
Contact information
Practice address
626 PARK AVE, CRANSTON, RI 02910-2154
(401) 228-8303
Mailing address
626 PARK AVE STE 220, CRANSTON, RI 02910-2154
(401) 228-8303
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-16935
—
Other
Enumeration date
07/16/2015
Last updated
02/26/2026
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