Individual
JESSICA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2617 S 600 W, NEW PALESTINE, IN 46163-9791
(615) 457-4700
Mailing address
2617 S 600 W, NEW PALESTINE, IN 46163-9791
(615) 457-4700
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-11607
TN
Other
Enumeration date
12/04/2012
Last updated
04/02/2025
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