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Individual

JAMIE L JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3761 N 26TH ST, MILWAUKEE, WI 53206-1337
(414) 531-5502
(414) 531-5502
Mailing address
3761 N 26TH ST, MILWAUKEE, WI 53206-1337
(414) 531-5502
(414) 531-5502

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
WI

Other

Enumeration date
05/18/2026
Last updated
05/18/2026
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