Crystal Tianae Johnson

NPI #1043782337 in Alameda, California

Provider Information

NPI Number: 1043782337
Entity Type: Individual
Name: Crystal Tianae Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Dec 26, 2018
Last Updated: Dec 26, 2018

Practice Location

Address: 1025 ATLANTIC AVE STE 101
City: Alameda
State: California
ZIP Code: 94501-1188
Phone: (510) 268-8120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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