Individual
JENNIFER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
37 TALCOTT RD, SUITE 114, WILLISTON, VT 05495-2094
(802) 662-7831
(802) 662-7834
Mailing address
37 TALCOTT RD, SUITE 114, WILLISTON, VT 05495-2094
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-05-2447
VT
Other
Enumeration date
12/13/2011
Last updated
07/13/2015
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