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Individual

EZERA NICOLE OWENS-JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3000 ILLINOIS AVE, KILLEEN, TX 76543-5371
(254) 402-4800
Mailing address
3000 ILLINOIS AVE, KILLEEN, TX 76543-5371
(254) 402-4800

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
8040
TX
106S00000X
Behavior Technician

Other

Enumeration date
12/06/2017
Last updated
01/30/2025
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