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Andra Johnson

Behavior Technician in Hoover, AL. Individual provider (NPI-1).

NPI number1164024824
StatusActive
Last updated in NPPESNov 9, 2020

Details

NPI
1164024824
Entity type
Individual (NPI-1)
Name
Andra Johnson
Sex
Female
Sole proprietor
No
Enumeration date
Nov 9, 2020
Certification date
Nov 9, 2020
Last updated
Nov 9, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1820 Southpark Dr
Hoover, AL 35244-2094

Phone 205-490-8228

Mailing address

1820 Southpark Dr
Hoover, AL 35244-2094

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