Individual
KENNETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LBS
Contact information
Practice address
2601 HERR ST, HARRISBURG, PA 17103-1815
(717) 230-9622
Mailing address
2601 HERR ST, HARRISBURG, PA 17103-1815
(717) 230-9622
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH002026
PA
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
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