Individual
KEARA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6419 W 87TH ST, OAK LAWN, IL 60453-1048
(872) 215-0103
Mailing address
6419 W 87TH ST, OAK LAWN, IL 60453-1048
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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