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1912747007
ALEXIS SHADORSHA JOHNSON
COLUMBUS, GA
NPI
1912747007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-05-28
Last Update Date
2024-05-28
Business Address
ALEXIS SHADORSHA JOHNSON
6100 VETERANS PKWY STE 11
COLUMBUS, GA 31909-3514
Phone number: 706-221-8966
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Mailing Address
ALEXIS SHADORSHA JOHNSON
1202 TECH BLVD STE 104
TAMPA, FL 33619-7863
Phone number: 813-438-6796
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