Individual
JENNIFER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2116 SCENIC DR APT B3, ALAMOGORDO, NM 88310-3700
(715) 316-3986
Mailing address
2116 SCENIC DR APT B3, ALAMOGORDO, NM 88310-3700
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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