Shavon Queenie Johns

NPI #1023714060 in Melville, New York

Provider Information

NPI Number: 1023714060
Entity Type: Individual
Name: Shavon Queenie Johns
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 1, 2023
Last Updated: Feb 1, 2023

Practice Location

Address: 225 BROADHOLLOW RD STE 402
City: Melville
State: New York
ZIP Code: 11747-4899
Phone: (631) 385-7780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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