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NPI Code Detail

MEDICARE: RICHELLE JOHNSON

MEDICARE: RICHELLE 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 : 1871141127
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHELLE JOHNSON
Provider Business Mailing Address
First Line : 1500 S DOUGLAS RD STE 230
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-4108
Country : US
Telephone Number : 844-854-1116
Fax Number :
Provider Business Practice Location Address
First Line : 111 NEWMAN ST
Second Line :
City : EAST TAWAS
State : MI
Zip : 48730-1272
Country : US
Telephone Number : 989-334-4837
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2019
Last Update Date : 08/02/2023

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Directions to “ RICHELLE JOHNSON ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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