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Individual

ANTHONY JOHNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
QASP

Contact information

Practice address
10175 FORTUNE PKWY, SUITE 903, JACKSONVILLE, FL 32256-6746
(904) 538-0713
(904) 538-0714
Mailing address
135 CEDAR ST, RICHMOND HILL, GA 31324-3745
(904) 538-0713
(904) 538-0714

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary

Other

Enumeration date
12/16/2016
Last updated
12/16/2016
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