Individual
MADISON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 KALANIANAOLE HWY SPC 5001, KAILUA, HI 96734-4669
(808) 247-2973
Mailing address
5144 CALAPINI LN, KAILUA, HI 96734-4995
(512) 698-2696
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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