Individual
DESTINY BRIANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24865 DETROIT RD, WESTLAKE, OH 44145-2512
(440) 250-8800
(440) 641-1170
Mailing address
7913 DRESDEN AVE, PARMA, OH 44129-2809
(234) 567-3928
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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