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1134751498
SHANTI LANELL JOHNSON-HARRIS
RIVERBANK, CA
NPI
1134751498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2020-02-05
Last Update Date
2020-02-05
Business Address
SHANTI LANELL JOHNSON-HARRIS BT
5501 ANTIQUE ROSE WAY
RIVERBANK, CA 95367-9505
Phone number: 559-916-5491
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Mailing Address
SHANTI LANELL JOHNSON-HARRIS BT
3425 COFFEE RD STE C2
MODESTO, CA 95355-1582
Phone number:
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