Individual
MRS. JENNIFER L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 FLAGSTONE LN, RAEFORD, NC 28376-3260
(207) 479-4243
Mailing address
385 N PECAN ST, PINEBLUFF, NC 28373-8287
(207) 479-4243
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/06/2021
Last updated
06/30/2026
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