Elyssa Johnson

NPI #1013673631 in Columbia, Maryland

Provider Information

NPI Number: 1013673631
Entity Type: Individual
Name: Elyssa Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 9, 2021
Last Updated: Nov 9, 2021

Practice Location

Address: 8970 ROUTE 108 STE B
City: Columbia
State: Maryland
ZIP Code: 21045-2145
Phone: (866) 727-8274

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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