| Carly Johnson | |
|
4301 Forbes Blvd Ste B Lanham MD 20706-4446 | |
| (240) 242-5985 | |
| Not Available |
| Full Name | Carly Johnson |
|---|---|
| Speciality | Behavior Technician |
| Location | 4301 Forbes Blvd Ste B, Lanham, Maryland |
| Authorized Official Name and Position | Carly Johnson (SELF) |
| Authorized Official Contact | 2409408918 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carly Johnson 1500 S Douglas Rd Ste 230 Coral Gables FL 33134-4108 Ph: (844) 244-1818 | Carly Johnson 4301 Forbes Blvd Ste B Lanham MD 20706-4446 Ph: (240) 242-5985 |
| NPI Number | 1720613250 |
|---|---|
| Provider Enumeration Date | 03/04/2020 |
| Last Update Date | 06/25/2024 |
| Certification Date | 06/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720613250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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