MS. Mary Louise Johnson

NPI #1992221642 in Corvallis, Oregon

Provider Information

NPI Number: 1992221642
Entity Type: Individual
Name: MS. Mary Louise Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Aug 15, 2017
Last Updated: Aug 15, 2017

Practice Location

Address: 4455 NE HIGHWAY 20
City: Corvallis
State: Oregon
ZIP Code: 97330-9695
Phone: (541) 758-5944

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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