| NPI | 1972050268 |
|---|---|
| Former Name | ANGELA KATHRYN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OR 10201681) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2016-09-05 |
| Last Update Date | 2021-08-11 |