Star Johnson
Star Johnson is an Early Intervention Provider Agency in Daytona Beach, Florida. Practices as a sole proprietor. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
201 Thornberry Branch LnDaytona Beach, FL 32124-3652
Phone: (386) 872-4892
Fax: (386) 256-2159
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Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|---|
| Early Intervention Provider Agency | Taxonomy 252Y00000X |
Record details
| NPI number | 1568979235 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 4, 2018 |
| Last updated in NPPES | January 4, 2018 |
| Mailing address | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 |
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