Individual
SANDRICKA KEISHAY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2541 PASS RD STE A, BILOXI, MS 39531-2112
(850) 607-6910
Mailing address
2541 PASS RD STE A, BILOXI, MS 39531-2112
(850) 607-6910
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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