Individual
BELEN EILEEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 NE 109TH CT STE A, VANCOUVER, WA 98662-6104
(714) 848-8319
(714) 596-6274
Mailing address
13705 NE 72ND AVE, VANCOUVER, WA 98686-2952
(971) 409-3989
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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