Individual
AMANDA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APS
Contact information
Practice address
1620 HARRISON AVE, CINCINNATI, OH 45214-1410
(513) 914-4673
Mailing address
100 CROWNE POINT PL, CINCINNATI, OH 45241-5427
(513) 743-7628
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CDCA.190000
OH
175T00000X
Peer Specialist
APS.002890
OH
Other
Enumeration date
04/22/2024
Last updated
03/05/2026
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