Marie Kathleen Johnson, BCBA

NPI #1750868642 in Pleasant Prairie, Wisconsin

Provider Information

NPI Number: 1750868642
Entity Type: Individual
Name: Marie Kathleen Johnson, BCBA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Jul 23, 2018
Last Updated: Jul 23, 2018

Practice Location

Address: 10450 72ND AVE
City: Pleasant Prairie
State: Wisconsin
ZIP Code: 53158-2911
Phone: (645) 326-2657

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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