Lakeshia Johnson
Behavior Technician in Jacksonville, FL. Individual provider (NPI-1).
NPI number1164067435
StatusActive
Last updated in NPPESNov 19, 2019
Details
- NPI
- 1164067435
- Entity type
- Individual (NPI-1)
- Name
- Lakeshia Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 11, 2019
- Last updated
- Nov 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2425 Dunn Ave Ste 2Jacksonville, FL 32218
Phone 904-420-2304 · Fax 904-508-0173
Mailing address
300 International Pkwy Ste 200Lake Mary, FL 32746-5028
Phone 866-610-0580
Other practice locations
300 Olive St
Green Cove Springs, FL 32043-2610
Green Cove Springs, FL 32043-2610
Phone 904-235-7710
300 Olive St
Green Cove Springs, FL 32043-2610
Green Cove Springs, FL 32043-2610
Phone 904-235-7710
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