Individual
ALYSSA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4777 OVERTON ROAD, BIRMINGHAM, AL 35210-3803
(205) 957-0294
(205) 957-0298
Mailing address
4777 OVERTON ROAD, BIRMINGHAM, AL 35210-3803
(205) 957-0294
(205) 957-0298
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-208989
CO
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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