Individual
MRS. JANNETTE M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1650 BRAGAW ST, ANCHORAGE, AK 99508-3435
(907) 423-7320
(907) 274-6413
Mailing address
1650 BRAGAW ST, ANCHORAGE, AK 99508-3435
(907) 423-7320
(907) 274-6413
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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