Healthcare Provider Details

I. General information

NPI: 1013665660
Provider Name (Legal Business Name): ROBYN E JOHNSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2022
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7423 TIFFANY S
YOUNGSTOWN OH
44514-3908
US

IV. Provider business mailing address

7423 TIFFANY S
YOUNGSTOWN OH
44514-3908
US

V. Phone/Fax

Practice location:
  • Phone: 330-629-2955
  • Fax:
Mailing address:
  • Phone: 330-272-2183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: