Ellie Johnson

NPI #1417766528 in Davenport, Iowa

Provider Information

NPI Number
1417766528
Entity Type
Individual
Name
Ellie Johnson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Jan 3, 2025
Last Updated
Jan 3, 2025

Practice Location

Address
4959 UTICA RIDGE RD
State
Iowa
ZIP Code
52807-3063
Phone
(563) 362-9631

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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