Individual
JERRMEY D JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 RIDGWAY AVE, SANTA ROSA, CA 95401-4320
(707) 890-3800
Mailing address
795 FOLSOM ST, SAN FRANCISCO, CA 94107-1243
(855) 832-6727
(772) 675-9100
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
CA
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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