Sara Mishael Johnson

NPI #1013732619 in Russellville, Arkansas

Provider Information

NPI Number: 1013732619
Entity Type: Individual
Name: Sara Mishael Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 19, 2024
Last Updated: Nov 19, 2024

Practice Location

Address: 301 N SIDNEY AVE
City: Russellville
State: Arkansas
ZIP Code: 72801-4383
Phone: (479) 890-5494

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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