Individual
AMBER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
8517 FM 1826 STE 501, AUSTIN, TX 78737-1472
(512) 732-2511
Mailing address
3100 PREMIER DR STE 234, IRVING, TX 75063-2693
(972) 756-1222
(469) 374-0800
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
TX
247200000X
Other Technician
RBT-18-52649
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-18-52649
BACB
TX
Enumeration date
09/10/2018
Last updated
11/21/2022
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