Alexis Nikol Johnson

NPI #1487465308 in Riverdale, Georgia

Provider Information

NPI Number: 1487465308
Entity Type: Individual
Name: Alexis Nikol Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 20, 2025
Last Updated: Jan 20, 2025

Practice Location

Address: 207 UPPER RIVERDALE RD SW
City: Riverdale
State: Georgia
ZIP Code: 30274-2585
Phone: (470) 944-1039

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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