Individual
NIYA JOHNSON-POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2244 NORTH RD STE 116, GARDENDALE, AL 35071-2258
(659) 207-6622
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AL
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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