Individual
CHASE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4152 30TH AVE S, FARGO, ND 58104-8524
(701) 364-9070
(701) 364-9071
Mailing address
2200 20TH ST SW, JAMESTOWN, ND 58401-7500
(701) 252-3850
(701) 952-1450
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
Primary
2440
ND
235Z00000X
Speech-Language Pathologist
Primary
—
ND
Other
Enumeration date
03/03/2021
Last updated
01/15/2026
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