Individual
ANNETTE DENICE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
312 SAINT ANDREW ST, TARBORO, NC 27886-5112
(252) 714-2369
Mailing address
312 SAINT ANDREW ST, TARBORO, NC 27886-5112
(252) 714-2369
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/24/2012
Last updated
05/29/2012
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