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1710505375
MISTY KAY JOHNSON
COLUMBUS, GA
NPI
1710505375
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Former Name
MISTY KAY WHITE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-18-71379)
Enumeration Date
2020-07-10
Last Update Date
2020-07-10
Business Address
MISTY KAY JOHNSON
200 BROOKSTONE CENTRE PKWY BLDG 200
COLUMBUS, GA 31904-4559
Phone number: 762-239-0017
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Mailing Address
MISTY KAY JOHNSON
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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