Individual
DESTINY A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2451B US HIGHWAY 17, RICHMOND HILL, GA 31324-3397
(615) 560-6622
Mailing address
46 CENTENNIAL CT, HINESVILLE, GA 31313-1171
(315) 775-7613
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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