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Individual

ASHLEY ELIZABETH JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1411 W 190TH STREET, GARDENA, CA 90248-4324
(390) 821-0719
Mailing address
540 MIDVALE AVE APT 314, LOS ANGELES, CA 90024-2357
(516) 659-0817

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary

Other

Enumeration date
06/20/2023
Last updated
06/20/2023
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