Josie M Johannsen

NPI #1013471481 in Peoria, Arizona

Provider Information

NPI Number: 1013471481
Entity Type: Individual
Name: Josie M Johannsen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 30, 2019
Last Updated: Jan 30, 2019

Practice Location

Address: 21505 N 78TH AVE STE 125
City: Peoria
State: Arizona
ZIP Code: 85382-3356
Phone: (602) 535-8341

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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