Individual
JORDAN D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1299 FARNAM ST STE 300, OMAHA, NE 68102-1857
(402) 969-6633
(855) 892-0299
Mailing address
PO BOX 6250, AKRON, OH 44312-0250
(888) 238-1818
(855) 915-1521
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-404661
NE
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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