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1194170563
TIA LORRAINE JOHNSON
SACRAMENTO, CA
NPI
1194170563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2016-05-04
Last Update Date
2016-05-04
Business Address
Ms. TIA LORRAINE JOHNSON
1416 BREWERTON DR #306
SACRAMENTO, CA 95833
Phone number: 408-912-3769
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Mailing Address
Ms. TIA LORRAINE JOHNSON
1416 BREWERTON DR APT 306
SACRAMENTO, CA 95833-4014
Phone number: 408-912-3769
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