Individual
CHARIS TRISHA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3650 MT DIABLO BLVD STE 107, LAFAYETTE, CA 94549-3780
(510) 665-9700
Mailing address
1514 HARMON ST, BERKELEY, CA 94703-2620
(510) 457-6566
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
05/12/2018
Last updated
05/12/2018
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