Individual
SHATOYA MONIQUE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 CEDAR HILL ST, MARLBOROUGH, MA 01752-5900
(508) 363-0200
Mailing address
350 FAIRWAY DR STE 101, DEERFIELD BEACH, FL 33441-1834
(871) 418-2978
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
MA
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/06/2019
Last updated
04/19/2022
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