Individual
JAALIB JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
47 FEDERAL ST APT H3, NEW LONDON, CT 06320-6605
(943) 244-9033
Mailing address
47 FEDERAL ST APT H3, NEW LONDON, CT 06320-6605
(943) 244-9033
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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