Reetta Danielle Johnson

NPI #1629570189 in Kennett, Missouri

Provider Information

NPI Number: 1629570189
Entity Type: Individual
Name: Reetta Danielle Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 1, 2018
Last Updated: Mar 1, 2018

Practice Location

Address: 925 HWY VV
City: Kennett
State: Missouri
ZIP Code: 63857-0071
Phone: (573) 686-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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