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NPI Code Detail

MEDICARE: JOANNA JOHNSON

MEDICARE: JOANNA 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 Technician1568906394SC

General Provider Information

NPI Number : 1861340358
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNA JOHNSON
Provider Business Mailing Address
First Line : 205 AYERS CIR
Second Line :
City : SUMMERVILLE
State : SC
Zip : 29485-3303
Country : US
Telephone Number : 843-934-1981
Fax Number :
Provider Business Practice Location Address
First Line : 1711 CENTRAL AVE
Second Line :
City : SUMMERVILLE
State : SC
Zip : 29483-9320
Country : US
Telephone Number : 843-934-1981
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2026
Last Update Date : 03/19/2026

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Directions to “ JOANNA JOHNSON ” Practice Location

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