Mattie C Johnson
Mattie C Johnson is a Behavior Technician in Chicago, Illinois. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
12436 S Wallace StChicago, IL 60628-7128
Phone: (773) 569-5086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1861072449 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 8, 2021 |
| Last updated in NPPES | April 8, 2021 |
| Certification date | April 8, 2021 |
| Mailing address | 12436 S Wallace St, Chicago, IL 60628-7128 |
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