ELLIE JOHNSON

DAVENPORT, IA
NPI1417766528
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: IA  25-403066)
Enumeration Date2025-01-03
Last Update Date2025-01-03
Business Address
ELLIE JOHNSON
4959 UTICA RIDGE RD
DAVENPORT, IA 52807-3063
Phone number: 563-362-9631
Mailing Address
ELLIE JOHNSON
4959 UTICA RIDGE RD
DAVENPORT, IA 52807-3063
Phone number: 563-362-9631