MAKHI ISAIAH JOHNSON

SOUTH BEND, IN
NPI1700641719
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-02-19
Last Update Date2024-02-19
Business Address
MAKHI ISAIAH JOHNSON
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615-2635
Phone number: 574-289-4831
Mailing Address
MAKHI ISAIAH JOHNSON
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615-2635
Phone number: