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Individual

ANGELICA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1221 LYNDON ST APT 17, SOUTH PASADENA, CA 91030-3740
(510) 725-9949
Mailing address
5700 S MO PAC EXWY BLDG C, 310, AUSTIN, TX 78749

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-26-88695
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
06/02/2014
Last updated
04/07/2026
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