Individual
MS. TANESHA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
8200 OLD DEXTER RD STE 103, CORDOVA, TN 38016-0542
(901) 249-2298
Mailing address
8200 OLD DEXTER RD STE 103, CORDOVA, TN 38016-0542
(901) 249-2298
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
22207347
TN
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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