Shantavia Johnson
Behavior Technician in Dunwoody, GA. Individual provider (NPI-1).
NPI number1336782879
StatusActive
Last updated in NPPESNov 23, 2020
Details
- NPI
- 1336782879
- Entity type
- Individual (NPI-1)
- Name
- Shantavia Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 28, 2019
- Certification date
- Nov 23, 2020
- Last updated
- Nov 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
5488 Chamblee Dunwoody Rd Ste 7Dunwoody, GA 30338-4161
Phone 404-480-3842 · Fax 615-577-5654
Mailing address
1321 Murfreesboro Pike Ste 702Nashville, TN 37217-2679
Phone 844-359-7629 · Fax 615-577-5654
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All 60 Behavior Technician providers in Dunwoody · All 836 providers in Dunwoody
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