Individual
BROOKE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
690 2ND ST STE D, JASPER, IN 47546-3277
(812) 481-8141
Mailing address
7901 E 88TH ST, INDIANAPOLIS, IN 46256-1235
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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