MISS Davine Johnson
NPI #1821724642 in Boston, Massachusetts
Provider Information
- NPI Number
- 1821724642
- Entity Type
- Individual
- Name
- MISS Davine Johnson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jul 25, 2022
- Last Updated
- Jul 25, 2022
Practice Location
- Address
- 24 WEYBOSSET ST
- City
- Boston
- State
- Massachusetts
- ZIP Code
- 02136-6218
- Phone
- (617) 276-2683
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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