Individual
DAYENERA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 N MAIN ST, HINESVILLE, GA 31313-2533
(912) 256-5977
(866) 467-4321
Mailing address
306 N MAIN ST, HINESVILLE, GA 31313-2533
(912) 256-5977
(866) 467-4321
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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