Individual
AMANDA J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
851 SE PIONEER WAY, OAK HARBOR, WA 98277-5789
(360) 333-5684
Mailing address
851 SE PIONEER WAY STE 201, OAK HARBOR, WA 98277-5789
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2041449
—
WA
Enumeration date
10/12/2022
Last updated
10/12/2022
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