Individual
JENNIFER JOHANTGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1840 CENTRE POINT CIR STE 108, NAPERVILLE, IL 60563-9364
(331) 207-1818
Mailing address
1840 CENTRE POINT CIR STE 108, NAPERVILLE, IL 60563-9364
(331) 207-1818
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-68089
IL
106S00000X
Behavior Technician
RBT-18-63659
CA
Other
Enumeration date
08/23/2018
Last updated
09/26/2023
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