Individual
ALEXANDRA TERESIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCABA
Contact information
Practice address
26349 74TH AVE, GLEN OAKS, NY 11004-1140
(631) 603-5553
Mailing address
26349 74TH AVE, GLEN OAKS, NY 11004-1140
(631) 603-5553
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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