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Search › Arizona › 235Z00000X

Lacee Johnson

NPI 1568869915 · on the registry since 2014 · sole proprietor

Practice

Address
5025 E Washington Street
Suite 212
Phoenix, AZ 85034
Phone
(602) 773-5773
Organisation at this address
Ability360, Inc,
Raising Special Kids
Arizona Autism United, Inc.
Brain Injury Alliance Of Arizona
Inferred from a shared address, not stated in the registry.
Clinicians at this address
51

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Also registered as
235Z00000X
Licence states on file
TN, AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-12-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona