Individual
HANNAH KATE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPED, BCBA
Contact information
Practice address
17706 INTERSTATE 30 N, BENTON, AR 72019-2907
(501) 315-4414
Mailing address
6200 STONERIDGE MALL RD STE 300, PLEASANTON, CA 94588-3705
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-65898
—
106S00000X
Behavior Technician
—
AR
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235425706
—
AR
Enumeration date
08/30/2019
Last updated
05/28/2024
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