Susan Patricia Johnson

NPI #1093291569 in Aurora, Illinois

Provider Information

NPI Number: 1093291569
Entity Type: Individual
Name: Susan Patricia Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 17, 2018
Last Updated: Jul 17, 2018

Practice Location

Address: 2062 BROOKSIDE LN
City: Aurora
State: Illinois
ZIP Code: 60502-1369
Phone: (630) 479-9335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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