Michaelle Johnson

NPI #1619252475 in Okmulgee, Oklahoma

Provider Information

NPI Number: 1619252475
Entity Type: Individual
Name: Michaelle Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Oct 12, 2011
Last Updated: Oct 12, 2011

Practice Location

Address: 1406 E 1ST ST
City: Okmulgee
State: Oklahoma
ZIP Code: 74447-3802
Phone: (918) 756-2798

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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