Individual
MR. JERMAINE MARCELL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ABA, MBA
Contact information
Practice address
1023 E BALTIMORE PIKE, MEDIA, PA 19063-5126
(610) 449-1600
(610) 449-2655
Mailing address
765 LIMEKILN PIKE UNIT 7, GLENSIDE, PA 19038-3929
(215) 962-4344
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH001435
PA
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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