Individual
MANUNIQUE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 N-1-10 SERVICE RD W., METAIRIE, LA 70006
(877) 418-2978
(866) 500-2186
Mailing address
4223 IRIS ST, NEW ORLEANS, LA 70122-4847
(504) 239-7310
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
10/01/2019
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