Lorissa Marie Johnson
Lorissa Marie Johnson is a Behavior Technician in Jacksonville, Florida. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
12276 San Jose Blvd Ste 508Jacksonville, FL 32223-8618
Phone: (904) 886-3228
Fax: (904) 485-8876
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1700562741 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 26, 2023 |
| Last updated in NPPES | June 26, 2023 |
| Certification date | June 24, 2023 |
| Mailing address | 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223-8618 |
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