Octavia Johnson

NPI #1861249633 in Spring Lake, North Carolina

Provider Information

NPI Number: 1861249633
Entity Type: Individual
Name: Octavia Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 1, 2024
Last Updated: May 1, 2024

Practice Location

Address: 102 SUPERIOR DR
City: Spring Lake
State: North Carolina
ZIP Code: 28390-3190
Phone: (910) 484-1711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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