Martina Johnson

NPI #1063150845 in Leesburg, Florida

Provider Information

NPI Number: 1063150845
Entity Type: Individual
Name: Martina Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: May 23, 2022
Last Updated: May 23, 2022

Practice Location

Address: 1650 W MAIN ST STE 1
City: Leesburg
State: Florida
ZIP Code: 34748-2842
Phone: (352) 314-3760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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