Organization
CARLY JOHNSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLY JOHNSON (SELF)
(240) 940-8918
Entity
Organization
Contact information
Practice address
4301 FORBES BLVD STE B, LANHAM, MD 20706-4446
(240) 242-5985
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(844) 244-1818
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/04/2020
Last updated
06/25/2024
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