Individual
MRS. SUZANNE ELLEN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
2430 6TH AVE, MOLINE, IL 61265-1539
(309) 764-5555
Mailing address
1431 DODGE ST, LE CLAIRE, IA 52753-9635
(563) 271-9629
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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