Melody Johnson

NPI #1073241261 in Caruthersville, Missouri

Provider Information

NPI Number: 1073241261
Entity Type: Individual
Name: Melody Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 15, 2022
Last Updated: Aug 15, 2022

Practice Location

Address: 915 HIGHWAY 84 W
City: Caruthersville
State: Missouri
ZIP Code: 63830-8113
Phone: (573) 333-5875

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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