Canisha Mone Johnson, BSW
Behavior Technician in Chattanooga, TN. Individual provider (NPI-1).
NPI number1750834537
StatusActive
Last updated in NPPESJun 8, 2020
Details
- NPI
- 1750834537
- Entity type
- Individual (NPI-1)
- Name
- Canisha Mone Johnson
- Credential
- BSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2016
- Certification date
- Jun 8, 2020
- Last updated
- Jun 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 104100000X | Social Worker | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
1510 Old Ringgold RdChattanooga, TN 37404-5444
Phone 423-266-6751
Mailing address
201 W Springdale AveKnoxville, TN 37917-5158
Phone 865-637-9711 · Fax 423-714-2355
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All 308 Behavior Technician providers in Chattanooga · All 9,197 providers in Chattanooga
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