Individual
JESSICA DANELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5017 LUNOW DR, OKLAHOMA CITY, OK 73135-4101
(405) 570-3292
Mailing address
5017 LUNOW DR, OKLAHOMA CITY, OK 73135-4101
(405) 570-3292
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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