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CHASITY JOHNSON

>> Day Training/Habilitation Specialist >> Nursing Service Related Providers

Registrant NPI Number: 1760891519

Individual Registrant:
 CHASITY  JOHNSON 
Gender: F
Sole Proprietor

Location and contact information for practice:
300 BOOTHE RD  HARDY, AR 72542 US
Tel: 870-751-0683  Fax: --

Contact information for business:
300 BOOTHE RD  HARDY, AR 72542-9742 US
Tel: 870-751-0683  Fax: --

Registration Information:
NPI: 1760891519
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N373H00000XNursing Service Related Providers
Day Training/Habilitation Specialist
Y2355S0801XSpeech, Language and Hearing Service Providers
Specialist/Technologist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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