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1083335962
GWENDOLYN JOHNSON
BOWLING GREEN, KY
NPI
1083335962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: 1-24-70492)
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2022-09-08
Last Update Date
2024-01-14
Business Address
GWENDOLYN JOHNSON BCBA
968 ANISE LN
BOWLING GREEN, KY 42104-7775
Phone number: 404-488-7811
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Mailing Address
GWENDOLYN JOHNSON BCBA
985 BRUTON CT SW
MARIETTA, GA 30064-2971
Phone number: 404-488-7811
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