MRS. Tia Kaysaundra Johnson, BCBA 1-19-38888

NPI #1013419977 in Milldale, Connecticut

Provider Information

NPI Number: 1013419977
Entity Type: Individual
Name: MRS. Tia Kaysaundra Johnson, BCBA 1-19-38888
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: BCBA 1-19-38888
Enumeration Date: Mar 6, 2018
Last Updated: May 8, 2023

Practice Location

Address: 1753 MERIDEN WTBY TPKE
City: Milldale
State: Connecticut
ZIP Code: 06467-6508
Phone: (203) 558-0367

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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