Mia Symone Johnson
NPI #1740837400 in Covington, Washington
Provider Information
- NPI Number
- 1740837400
- Entity Type
- Individual
- Name
- Mia Symone Johnson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Aug 19, 2019
- Last Updated
- Aug 19, 2019
Practice Location
- Address
- 27023 164TH AVE SE
- City
- Covington
- State
- Washington
- ZIP Code
- 98042-8241
- Phone
- (253) 639-7146
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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