Individual
ALYSSA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
2209 NORTHERN DR, BURLINGTON, IA 52601-2256
(319) 243-1524
Mailing address
7058 N 850TH AVE, CAMBRIDGE, IL 61238-9248
(309) 525-0611
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
CB60799981
WA
Other
Enumeration date
12/26/2017
Last updated
07/09/2020
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