Theodosia Grace Johnson

NPI #1972001063 in Visalia, California

Provider Information

NPI Number: 1972001063
Entity Type: Individual
Name: Theodosia Grace Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 24, 2018
Last Updated: Jan 24, 2018

Practice Location

Address: 1730 W WALNUT AVE
City: Visalia
State: California
ZIP Code: 93277-6233
Phone: (559) 825-8455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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