Alissa Meredith Johnson

NPI #1619703196 in Callahan, Florida

Provider Information

NPI Number: 1619703196
Entity Type: Individual
Name: Alissa Meredith Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 11, 2024
Last Updated: Sep 11, 2024

Practice Location

Address: 450061 STATE ROAD 200 UNIT 2
City: Callahan
State: Florida
ZIP Code: 32011-3842
Phone: (904) 886-3228

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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