Amalisa Gloria Johnson

NPI #1851023089 in Hercules, California

Provider Information

NPI Number: 1851023089
Entity Type: Individual
Name: Amalisa Gloria Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 27, 2022
Last Updated: Jun 27, 2022

Practice Location

Address: 500 ALFRED NOBEL DR STE 275
City: Hercules
State: California
ZIP Code: 94547-1838
Phone: (510) 363-5483

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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