Individual
RAVEN-SEYMONE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH
Contact information
Practice address
460 QUINCY AVE, QUINCY, MA 02169-8130
(617) 847-1950
(617) 774-1490
Mailing address
460 QUINCY AVE, QUINCY, MA 02169-8130
(617) 847-1950
(617) 774-1490
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/11/2017
Last updated
07/21/2022
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