SearchIllinois106S00000X

Dakota Johnston, BEHAVIORAL TECH

NPI 1861221566 · on the registry since 2024

Practice

Address
1716 Corporate Xing Ste 3
O Fallon, IL 62269
Phone
(618) 226-4687
Organisation at this address
Envision Health Lab, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
53

Registry record

Primary taxonomy
106S00000X
106S00000X
Sex
Female
Record last updated
2024-07-31

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 Illinois