Individual
JESSICA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
58 STONE EDGE RD, SELLERSVILLE, PA 18960-1960
(215) 805-0468
Mailing address
58 STONE EDGE RD, SELLERSVILLE, PA 18960-1960
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH005186
PA
Other
Enumeration date
12/30/2020
Last updated
01/08/2021
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