Individual
SAMANTHA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1136 UNION MALL STE 803, HONOLULU, HI 96813-2716
(818) 345-2345
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-79470
HI
Other
Enumeration date
08/14/2018
Last updated
12/06/2022
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