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Individual

ERNEST JOHNSON III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1300 S EBRIGHT ST, MUNCIE, IN 47302-3542
(765) 215-0205
Mailing address
1300 S EBRIGHT ST, MUNCIE, IN 47302-3542
(765) 215-0205

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
IN

Other

Enumeration date
10/30/2015
Last updated
10/30/2015
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