Individual
MRS. LEXUS JADE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA, MS
Contact information
Practice address
1159 E 200 N STE 100, AMERICAN FORK, UT 84003-2053
(801) 935-4171
Mailing address
268 S 740 W, PLEASANT GROVE, UT 84062-2530
(763) 381-1676
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
13735245-2506
UT
106S00000X
Behavior Technician
—
CA
Other
Enumeration date
11/27/2019
Last updated
12/22/2023
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