Most Relevant Information
Provider Data
| NPI Number: | 1003328683 |
| Provider Name: | EMILY JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/03/2017 |
| Last Updated: | 11/03/2017 |
Provider Practice Location
183 BAY STATE RD APT 1R
BOSTON
MA
022151506
Practice Location Phone/Fax
| Phone: | 7326727372 |
| Fax: |
Provider Mailing Location
183 BAY STATE RD APT 1R
BOSTON
MA
022151506
Provider Mailing Phone/Fax
| Phone: | 7326727372 |
| Fax: |