Individual
JORDYN M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4559 BENES AVE, GLEN CARBON, IL 62034
(217) 525-8332
(217) 789-1420
Mailing address
5220 6TH STREET FRONTAGE RD E STE 1700, SPRINGFIELD, IL 62703-5771
(217) 525-8332
(217) 789-1420
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/25/2018
Last updated
01/09/2023
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