Individual
MARQUISE GREGORY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1404 S LAFAYETTE ST, SHELBY, NC 28152-6658
(980) 484-3390
(980) 842-0212
Mailing address
PO BOX 749, BELMONT, NC 28012-0749
(704) 869-2088
(980) 288-4239
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-21-49968
CA
103K00000X
Behavior Analyst
Primary
3705
NC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/16/2021
Last updated
04/21/2026
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