Individual
BAILIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT-24-379080
Contact information
Practice address
605 N WESTERN AVE, MARION, IN 46952-3403
(765) 382-8222
Mailing address
1054 N JUNE WALK, MARION, IN 46952-1773
(765) 243-9123
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
02/17/2026
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