Individual
AMANDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2560 9TH ST STE 219, BERKELEY, CA 94710-2557
(510) 421-3888
Mailing address
2560 9TH ST STE 219, BERKELEY, CA 94710-2557
(510) 421-3888
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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