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Individual

DAVID JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
107 INDUSTRIAL DR STE E, SAINT MARYS, GA 31558-4436
(912) 324-5012
Mailing address
104 BEAVER CT, KINGSLAND, GA 31548-5757
(904) 616-4062

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA001673
GA
106S00000X
Behavior Technician
Primary
RBT-17-28504

Other

Enumeration date
10/16/2017
Last updated
03/06/2026
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