Individual
DORNECIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3020 HENDERSON DR, JACKSONVILLE, NC 28546-5246
(910) 484-1722
Mailing address
131 CLAYTON JAMES RD LOT 4, JACKSONVILLE, NC 28540-9506
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NC
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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