Individual
ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
482 CLAXTON AVE N, ELBA, AL 36323-1983
(334) 493-5712
Mailing address
1889 ANDREWS AVE, OZARK, AL 36360-3729
(334) 493-5712
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-370230
AL
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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