Tinesha Denise Johnson

NPI #1467085753 in Dolton, Illinois

Provider Information

NPI Number: 1467085753
Entity Type: Individual
Name: Tinesha Denise Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 15, 2020
Last Updated: Sep 10, 2020

Practice Location

Address: 14840 SHEPARD DR
City: Dolton
State: Illinois
ZIP Code: 60419-2467
Phone: (773) 449-0859

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X
Developmental Therapist	222Q00000X
Home Health Aide	374U00000X
Behavior Technician	106S00000X	Primary

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