Individual
MISS DAVINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 WEYBOSSET ST, BOSTON, MA 02136-6218
(617) 276-2683
Mailing address
24 WEYBOSSET ST, BOSTON, MA 02136-6218
(617) 276-2683
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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