Individual
CARMEL JOHNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 W SW LOOP 323, TYLER, TX 75701-9416
(430) 205-8710
Mailing address
PO BOX 151716, AUSTIN, TX 78715-1716
(512) 898-9044
(512) 857-1423
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-253498
TX
106S00000X
Behavior Technician
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—
Other
Enumeration date
04/12/2023
Last updated
02/21/2024
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