Individual
JESSICA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
819 TARA PLZ, PAPILLION, NE 68046-2043
(907) 206-4450
Mailing address
13336 INDUSTRIAL RD, SUITE 105, OMAHA, NE 68137-1124
(402) 330-3211
(402) 330-5970
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
NE
235Z00000X
Speech-Language Pathologist
Primary
1519
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NE
Enumeration date
01/09/2013
Last updated
06/18/2026
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