Carlie Marie Johanningmeier

NPI #1073349734 in Davenport, Iowa

Provider Information

NPI Number: 1073349734
Entity Type: Individual
Name: Carlie Marie Johanningmeier
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 10, 2024
Last Updated: Sep 10, 2024

Practice Location

Address: 4959 UTICA RIDGE RD
City: Davenport
State: Iowa
ZIP Code: 52807-3063
Phone: (563) 362-9631

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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