EZRA JOHNSON

COLUMBIA, SC
NPI1962110916
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: SC  RBT-21-192786)
Enumeration Date2022-11-08
Last Update Date2022-11-08
Business Address
EZRA JOHNSON RBT
3401 COLONIAL DR
COLUMBIA, SC 29203-6934
Phone number: 803-394-5619
Mailing Address
EZRA JOHNSON RBT
3401 COLONIAL DR
COLUMBIA, SC 29203-6934
Phone number: 803-394-5619