Individual
MRS. STEPHANIE ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
445 MAIN ST APT B, KETCHIKAN, AK 99901-6386
(907) 220-7419
(907) 225-1541
Mailing address
445 MAIN ST APT B, KETCHIKAN, AK 99901-6386
(907) 220-7419
(907) 225-1541
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
173332
AK
Other
Enumeration date
06/11/2012
Last updated
09/28/2021
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