Star Johnson
Developmental Therapist · Daytona Beach, FL
Practice location
201 Thornberry Branch LnDaytona Beach, FL 32124-3652
- Phone
- (386) 872-4892
- Fax
- (386) 256-2159
NPI record
- NPI
- 1568979235
- Entity type
- Individual (Type 1)
- Enumeration date
- January 4, 2018
- Last updated
- January 4, 2018
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Developmental Therapist Primary | 222Q00000X |
— | — |
| Early Intervention Provider Agency | 252Y00000X |
— | — |
About Star Johnson
Star Johnson is a healthcare provider registered in the NPI registry with the primary taxonomy Developmental Therapist (code 222Q00000X). The practice location is 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652. The NPI number 1568979235 was assigned on January 4, 2018 and the record was last updated on January 4, 2018.
Frequently asked questions
What is the NPI number of Star Johnson?
The NPI number is 1568979235.
What is the phone number of Star Johnson?
The phone number listed for the practice location is (386) 872-4892.
Where is Star Johnson located?
201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652.
What is the taxonomy code for Star Johnson?
The primary taxonomy code is 222Q00000X – Developmental Therapist; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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