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Individual

ASIA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6495 NEW HAMPSHIRE AVE, HYATTSVILLE, MD 20783-3245
(855) 255-5270
Mailing address
6495 NEW HAMPSHIRE AVE, HYATTSVILLE, MD 20783-3245
(855) 255-5270

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
11/09/2022
Last updated
11/09/2022
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