Madison Johnson

NPI #1952010050 in Tumwater, Washington

Provider Information

NPI Number: 1952010050
Entity Type: Individual
Name: Madison Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 17, 2022
Last Updated: Nov 17, 2022

Practice Location

Address: 6330 CAPITOL BLVD SE
City: Tumwater
State: Washington
ZIP Code: 98501-5205
Phone: (360) 915-6934

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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