Individual
JENNIFER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2055 CRAIGSHIRE RD, SAINT LOUIS, MO 63146-4036
(050) 631-4275
Mailing address
2055 CRAIGSHIRE RD, SAINT LOUIS, MO 63146-4036
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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