Individual
LAUREN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA 1-22-59104
Contact information
Practice address
16649 JEAN LN APT 2S, TINLEY PARK, IL 60477-4964
(708) 268-0468
Mailing address
7604 W SAINT FRANCIS RD, FRANKFORT, IL 60423-6931
(708) 268-0468
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/01/2019
Last updated
05/20/2022
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