Individual
ALLIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4608 W 121STS TER APT 521, OVERLAND PARK, KS 66209
(239) 595-0882
Mailing address
4608 W 121STS TER APT 521, OVERLAND PARK, KS 66209
(239) 595-0882
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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