MRS. Alicia Clarice Johnson

NPI #1184361552 in Lino Lakes, Minnesota

Provider Information

NPI Number: 1184361552
Entity Type: Individual
Name: MRS. Alicia Clarice Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 17, 2022
Last Updated: May 17, 2022

Practice Location

Address: 7173 LAKEVIEW DR
City: Lino Lakes
State: Minnesota
ZIP Code: 55014-1213
Phone: (763) 318-8311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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