Corey Anthony Johnson
Behavior Technician in Ramsey, NJ. Individual provider (NPI-1).
NPI number1982254819
StatusActive
Last updated in NPPESSep 12, 2019
Details
- NPI
- 1982254819
- Entity type
- Individual (NPI-1)
- Name
- Corey Anthony Johnson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 12, 2019
- Last updated
- Sep 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
171 Lake St Ste 1Ramsey, NJ 07446-2036
Phone 201-620-9927
Mailing address
31 Chamberlain AveLittle Ferry, NJ 07643-1851
Phone 201-559-1460
Other practice locations
31 Chamberlain Ave
Little Ferry, NJ 07643-1851
Little Ferry, NJ 07643-1851
Phone 201-559-1460
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