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1063243541
SHANDREKA AUSBON JOHNSON
BATON ROUGE, LA
NPI
1063243541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-08-08
Last Update Date
2024-08-08
Business Address
SHANDREKA AUSBON JOHNSON
7932 SUMMA AVE STE B2
BATON ROUGE, LA 70809-3736
Phone number: 225-349-7171
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Mailing Address
SHANDREKA AUSBON JOHNSON
996 ROYAL MARCO WAY
MARCO ISLAND, FL 34145-1829
Phone number:
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