Lisa Marie Johanson
NPI #1538958103 in Vadnais Heights, Minnesota
Provider Information
- NPI Number
- 1538958103
- Entity Type
- Individual
- Name
- Lisa Marie Johanson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- May 1, 2025
- Last Updated
- May 1, 2025
Practice Location
- Address
- 380 OAK GROVE PKWY
- City
- Vadnais Heights
- State
- Minnesota
- ZIP Code
- 55127-8508
- Phone
- (952) 767-4200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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