Individual
CARMON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
427 W. TRAVELERS TRAIL, BURNSVILLE, MN 55337
(612) 413-6408
Mailing address
427 W. TRAVELERS TRAIL, BURNSVILLE, MN 55337
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MN
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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