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1811675028
EVAN JOHNSON
OWENSBORO, KY
NPI
1811675028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: KY RBT-23-280656)
Enumeration Date
2023-07-07
Last Update Date
2023-07-07
Business Address
EVAN JOHNSON
721 CHUCK GRAY CT
OWENSBORO, KY 42303-7308
Phone number: 270-843-5383
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Mailing Address
EVAN JOHNSON
1321 MURFREESBORO PIKE STE 410
NASHVILLE, TN 37217-2665
Phone number: 615-247-5487
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