Rashidrea Briana Johnson
Behavior Technician in Melbourne, FL. Individual provider (NPI-1).
NPI number1710652425
StatusActive
Last updated in NPPESAug 13, 2021
Details
- NPI
- 1710652425
- Entity type
- Individual (NPI-1)
- Name
- Rashidrea Briana Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2021
- Certification date
- Jul 20, 2021
- Last updated
- Aug 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
500 Murrell RoadSuite 100
Melbourne, FL 32940
Phone 321-426-7759
Mailing address
300 International Pkwy Ste 200Lake Mary, FL 32746-5028
Phone 866-610-0580
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