Individual
ALEXIS CHAMPRE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 KELLY MILL RD, ELGIN, SC 29045-9137
(772) 349-6317
Mailing address
410 KELLY MILL RD, ELGIN, SC 29045-9137
(803) 509-4470
(803) 509-4470
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
SC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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