Individual
ALESHA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
693 LEESVILLE RD, LYNCHBURG, VA 24502-2828
(804) 678-9882
Mailing address
1125 OLD GRAVES MILL RD APT 434, LYNCHBURG, VA 24502-4314
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-94694
VA
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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