Selena B Johnson

NPI #1043989981 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1043989981
Entity Type: Individual
Name: Selena B Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 13, 2021
Last Updated: Sep 13, 2021

Practice Location

Address: 510 E BURLEIGH ST
City: Milwaukee
State: Wisconsin
ZIP Code: 53212-2119
Phone: (800) 438-1772

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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