Alexa Johnson

NPI #1023543949 in East Northport, New York

Provider Information

NPI Number: 1023543949
Entity Type: Individual
Name: Alexa Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 28, 2017
Last Updated: Apr 28, 2017

Practice Location

Address: 118 KETAY DR S
City: East Northport
State: New York
ZIP Code: 11731-5014
Phone: (631) 275-6131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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