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Cynthia Malia Johnson
Personal Care Attendant in Vienna, Virginia
NPI 1821636812

Cynthia Malia Johnson is a Personal Care Attendant based in Vienna, VA and is specialized in Personal Care Attendant. Cynthia Malia Johnson practices in Vienna, VA. The NPI Number for Cynthia Malia Johnson is 1821636812 and holds a License No. A60819460 (Virginia).

The current practice location address for Cynthia Malia Johnson is 8300 Boone Blvd Ste 500, Vienna, VA and can be reached out via phone at 703-714-9524.

Location: 8300 Boone Blvd Ste 500, Vienna, VA, 22182-2681
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821636812
Provider Name
Cynthia Malia Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
8300 Boone Blvd Ste 500, Vienna, VA, 22182-2681
Phone Number
703-714-9524
Fax Number
Provider Enumeration Date
12/20/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8300 Boone Blvd Ste 500
City
Vienna
State
Virginia
Zip
22182-2681
Phone Number
703-714-9524
Fax Number
person
Provider Business Mailing Address Details
Address
8300 Boone Blvd Ste 500
City
Vienna
State
Virginia
Zip
22182-2681
Phone Number
703-714-9524
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
G162992 (West Virginia)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
A60819460 (Virginia)
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
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