Most Relevant Information
Provider Data
| NPI Number: | 1003575572 |
| Provider Name: | VONKESHIA JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/13/2021 |
| Last Updated: | 12/13/2021 |
Provider Practice Location
9115 S CICERO AVE STE 200
OAK LAWN
IL
604531771
Practice Location Phone/Fax
| Phone: | 1773449085 |
| Fax: |
Provider Mailing Location
14840 SHEPARD DR
DOLTON
IL
604192467
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |