Calvin Johnson
Behavior Technician in Columbia, SC. Individual provider (NPI-1).
NPI number1982425294
StatusActive
Last updated in NPPESOct 19, 2024
Details
- NPI
- 1982425294
- Entity type
- Individual (NPI-1)
- Name
- Calvin Johnson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 19, 2024
- Certification date
- Oct 19, 2024
- Last updated
- Oct 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3401 Colonial DrColumbia, SC 29203-6934
Phone 803-339-1907 · Fax 803-339-1907
Mailing address
3401 Colonial DrColumbia, SC 29203-6934
Phone 803-339-1907 · Fax 803-339-1907
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