Individual
DANIELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3330 CHASTAIN MEADOWS PKWY NW # 200, KENNESAW, GA 30144-5881
(678) 648-7644
(678) 648-7479
Mailing address
6505 SHILOH RD STE 100, ALPHARETTA, GA 30005-1645
(678) 648-7644
(678) 882-7040
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-76332
GA
106S00000X
Behavior Technician
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Other
Enumeration date
05/18/2017
Last updated
10/17/2024
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