Individual
MS. SHAUNTE NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
43 WESTERN BLVD, GLASTONBURY, CT 06033-4362
(860) 463-0659
Mailing address
542 AMHERST ST STE B, NASHUA, NH 03063-1016
(860) 463-0659
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/24/2017
Last updated
03/09/2026
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