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1457994972
ELYSE NICOLE JOHNSON
COSTA MESA, CA
NPI
1457994972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-10-28
Last Update Date
2019-10-28
Business Address
ELYSE NICOLE JOHNSON
1503 S COAST DR STE 202
COSTA MESA, CA 92626-1527
Phone number: 855-295-3276
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Mailing Address
ELYSE NICOLE JOHNSON
1055 E COLORADO BLVD STE 560
PASADENA, CA 91106-2380
Phone number: 818-241-6780
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