ELLIE JOHNSON

Behavior Technician

Active Individual
NPI: 1417766528

Practice Address

4959 UTICA RIDGE RD
Davenport, IA 52807

Phone: (563) 362-9631

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes 25-403066 (IA)

Frequently Asked Questions

NPI 1417766528 is the National Provider Identifier for ELLIE JOHNSON, a Behavior Technician provider located in Davenport, IA. This NPI was enumerated on January 3, 2025.
ELLIE JOHNSON practices at 4959 UTICA RIDGE RD, Davenport, IA 52807.

Quick Facts

NPI
1417766528
Type
Individual
Enumerated
Jan 3, 2025
Last Updated
Jan 3, 2025

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