Candace Johnson

NPI #1003613118 in Fort Wayne, Indiana

Provider Information

NPI Number: 1003613118
Entity Type: Individual
Name: Candace Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 26, 2025
Last Updated: Feb 26, 2025

Practice Location

Address: 4410 EXECUTIVE BLVD
City: Fort Wayne
State: Indiana
ZIP Code: 46808-1135
Phone: (888) 515-1793

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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