Individual provider · Type 1 NPI

Wanda Breshae Johnson

Day Training/Habilitation Specialist · Columbus, GA

NPI number 1649819129 Active

Practice location

506 Manchester Expy Ste A13
Columbus, GA 31904-6483

Mailing address

919 Lawyers Ln
Columbus, GA 31906-3129

Specialties and licenses

TaxonomyCodeLicense
Day Training/Habilitation Specialist Primary 373H00000XNone listed

Day Training/Habilitation Specialist: Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

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About NPI 1649819129

Wanda Breshae Johnson's National Provider Identifier is 1649819129, issued on Dec 31, 2019. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Columbus, GA. The record was last updated on Dec 31, 2019.