Individual
EVA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
40 BIG BOBBY RD, TWIN CITY, GA 30471-4868
(478) 455-0661
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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