Most Relevant Information
Provider Data
| NPI Number: | 1003511841 |
| Provider Name: | SHAKIRIA JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/03/2023 |
| Last Updated: | 04/03/2023 |
Provider Practice Location
11476 S APOPKA VINELAND RD STE 118
ORLANDO
FL
328367006
Practice Location Phone/Fax
| Phone: | 4079554001 |
| Fax: |
Provider Mailing Location
945 N CENTRAL AVE
WOODMERE
NY
115981604
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |