Individual
MR. MICHAEL NATHANIEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4005 20TH ST NE, WASHINGTON, DC 20018-3255
(813) 541-2990
Mailing address
4005 20TH ST NE APT 4, WASHINGTON, DC 20018-3255
(813) 541-2990
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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