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NPI Code Detail

MEDICARE: ROISHINIQUE J JOHNSON

MEDICARE: ROISHINIQUE J JOHNSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1154297034
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROISHINIQUE J JOHNSON
Provider Business Mailing Address
First Line : PO BOX 360595
Second Line :
City : PITTSBURGH
State : PA
Zip : 15251
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 511 NEW HIGHWAY 96 W
Second Line :
City : FRANKLIN
State : TN
Zip : 37064-2554
Country : US
Telephone Number : 615-552-7080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2025
Last Update Date : 10/24/2025

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