Carly Johnson

NPI #1720613250 in Lanham, Maryland

Provider Information

NPI Number: 1720613250
Entity Type: Organization
Organization Name: Carly Johnson
Primary Specialty: Behavior Technician
Enumeration Date: Mar 4, 2020
Last Updated: Jun 25, 2024

Practice Location

Address: 4301 FORBES BLVD STE B
City: Lanham
State: Maryland
ZIP Code: 20706-4446
Phone: (240) 242-5985

Authorized Official

Name: CARLY JOHNSON
Title: SELF
Phone: (240) 940-8918

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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