Reginic Shanell Johnson, RBT

NPI #1104377639 in Milton, Florida

Provider Information

NPI Number: 1104377639
Entity Type: Individual
Name: Reginic Shanell Johnson, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Oct 19, 2016
Last Updated: Aug 10, 2021

Practice Location

Address: 6479 CAROLINE ST
City: Milton
State: Florida
ZIP Code: 32570-4502
Phone: (850) 607-6910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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