Individual
KRISTEN M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 THOMAS RD, LYNCHBURG, VA 24502-1043
(434) 616-6762
Mailing address
145 LINCOLN LN, RUSTBURG, VA 24588-3971
(434) 300-8483
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-162153
VA
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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