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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STAR JOHNSON

Active Sole Proprietor

STAR JOHNSON is a Developmental Therapist healthcare provider located in DAYTONA BEACH, Florida. NPI 1568979235 is currently active in the NPPES registry. Verify at CMS.

Developmental Therapist · DAYTONA BEACH, FL

Registration Details

NPI Number
1568979235
Provider Type
Individual
Gender
Female
NPI Issued
Jan 4, 2018 (8.6058387175265 yrs)
Last Updated
Jan 4, 2018
Sole Proprietor
Yes

Practice Information

Address
201 THORNBERRY BRANCH LN
DAYTONA BEACH, FL, 321243652
Browse FL providers · Browse ZIP 32124
Phone
3868724892
Fax
3862562159
Primary Specialty
Developmental Therapist
222Q00000X
Additional Specialty
Developmental Therapist

Other Developmental Therapist Providers in DAYTONA BEACH, FL

Name Credential NPI
KERRI HARRELSON 1750753562
JACLYN ZINK-PITUSKIN 1104620616
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.