NPI 1003575572

Vonkeshia Johnson

Practitioner Behavior Technician Oak Lawn, IL

Practice location

Address: 9115 S Cicero Ave STE 200, Oak Lawn, IL 60453-1771
Phone: (177) 344-9085
Mailing address: 14840 Shepard Dr, Dolton, IL 60419-2467

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1003575572
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Dec 2021
Record last updated: 13 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.