Individual
JALESIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, BCBA, LBA
Contact information
Practice address
773 BROOKSEDGE BLVD, WESTERVILLE, OH 43081-2821
(614) 401-3366
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-79039
KY
103K00000X
Behavior Analyst
1-25-79039
OH
103K00000X
Behavior Analyst
COBA.01779
OH
103K00000X
Behavior Analyst
LBA297975
KY
Other
Enumeration date
03/01/2022
Last updated
10/15/2025
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