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Individual

MRS. CHERON JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
107-29 172ND STREET, JAMAICA, NY 11433
(718) 662-0892
Mailing address
10729 172ND ST, JAMAICA, NY 11433-2533
(718) 662-0892

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
07/25/2017
Last updated
07/21/2022
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