MS. Larisha Rai Johnson

NPI #1386413458 in Moosup, Connecticut

Provider Information

NPI Number: 1386413458
Entity Type: Individual
Name: MS. Larisha Rai Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 29, 2023
Last Updated: Dec 29, 2023

Practice Location

Address: 19 HIGH ST
City: Moosup
State: Connecticut
ZIP Code: 06354-1003
Phone: (860) 574-6380

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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