Individual
SHONTEQUA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1875 OLD ALABAMA RD STE 1008, ROSWELL, GA 30076-2268
(706) 842-5330
(706) 842-5340
Mailing address
525 8TH ST, P.O. BOX 2567, AUGUSTA, GA 30901-9998
(706) 842-5330
(706) 842-5340
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-61038
GA
106E00000X
Assistant Behavior Analyst
0-21-13318
GA
Other
Enumeration date
08/17/2020
Last updated
06/07/2023
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