Individual
BENNETT MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CBT
Contact information
Practice address
111 E CENTRAL AVE, SPOKANE, WA 99208-1108
(509) 505-9614
Mailing address
10216 N ANDREW ST., SPOKANE, WA 99218
(582) 244-4963
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61685933
WA
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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