Tia Lanae Johnson, RBT
NPI #1164114435 in Springfield, Illinois
Provider Information
- NPI Number
- 1164114435
- Entity Type
- Individual
- Name
- Tia Lanae Johnson, RBT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Credential
- RBT
- Enumeration Date
- May 24, 2023
- Last Updated
- May 24, 2023
Practice Location
- Address
- 5220 6TH STREET FRONTAGE RD E STE 1700
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62703-5771
- Phone
- (217) 525-8332
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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