Individual
REBECCA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 SALEM TPKE STE 200, NORWICH, CT 06360-6484
(888) 754-0398
Mailing address
11 HIGH ST APT D, JEWETT CITY, CT 06351-2163
(860) 333-0094
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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