Individual
AMAYA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL 32258-9486
(800) 260-4056
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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